White Tail Transportation, Inc.

NPI #1649621525 in Priest River, Idaho

Provider Information

NPI Number
1649621525
Entity Type
Organization
Organization Name
White Tail Transportation, Inc.
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
Jun 22, 2016
Last Updated
Jun 22, 2016

Practice Location

Address
5486 HIGHWAY 2 STE 102
State
Idaho
ZIP Code
83856-6072
Phone
(208) 448-0848

Authorized Official

Name
DARREN J TALLEY
Title
OWNER
Phone
(509) 682-4424

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)

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