Prime Medical Services, LLC
NPI #1306396148 in Bloomington, Illinois
Provider Information
- NPI Number
- 1306396148
- Entity Type
- Organization
- Organization Name
- Prime Medical Services, LLC
- Primary Specialty
- Nurse Practitioner - Gerontology
- Enumeration Date
- Oct 5, 2016
- Last Updated
- Oct 5, 2016
Practice Location
- Address
- 115 W JEFFERSON ST
- Address 2
- SUITE 401
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-3946
- Phone
- (309) 828-4361
Authorized Official
- Name
- DAVID UNDERWOOD, CPA
- Title
- EXEC VP & CFO
- Phone
- (309) 823-7135
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Gerontology — Gerontology |
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