Organization · Type 2 NPI

City of Wagoner

Land Ambulance · Wagoner, OK

NPI number 1093890352 Active

Practice location

300 SE 3rd St
Wagoner, OK 74467-5726

Fax (580) 628-2273

Mailing address

PO Box 406
Wagoner, OK 74477-0406

Specialties and licenses

TaxonomyCodeLicense
Land Ambulance Primary 3416L0300XEMS014 (OK)

Land Ambulance: Definition to come...

About NPI 1093890352

City of Wagoner's National Provider Identifier is 1093890352, issued on Oct 26, 2006. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in Wagoner, OK. The record was last updated on Dec 14, 2009.