Escalon Community Ambulance INC

NPI #1134478852 in Escalon, California

Provider Information

NPI Number: 1134478852
Entity Type: Organization
Organization Name: Escalon Community Ambulance INC
Primary Specialty: Ambulance
Enumeration Date: Sep 10, 2012
Last Updated: Sep 10, 2012

Practice Location

Address: 1480 ULLREY AVE
City: Escalon
State: California
ZIP Code: 95320-8612
Phone: (209) 838-3264

Authorized Official

Name: BOB PETERSON, M.D.
Title: MEDICAL DIRECTOR
Phone: (209) 838-3264

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ambulance	341600000X	Primary

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