Individual provider · Type 1 NPI

Terry L. Pangburn

Driver · Moulton, IA

NPI number 1164693545 Active

Practice location

109 S Elm St
Moulton, IA 52572-1441

Call (641) 856-7734 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000X022AA0001 (IA)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

About NPI 1164693545

Terry L. Pangburn's National Provider Identifier is 1164693545, issued on Mar 13, 2008. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Moulton, IA. The record was last updated on Mar 13, 2008.