Douglas Pearson
Douglas Pearson is a Secured Medical Transport (VAN) in Moore, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
3551 W Antelope RdMoore, ID 83255-8754
Phone: (208) 680-5339
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-emergency Medical Transport (VAN) (primary) | Taxonomy 343900000X · Licence NS102890G (ID) |
|---|---|
| Secured Medical Transport (VAN) | Taxonomy 343800000X · Licence NS102890G (ID) |
Record details
| NPI number | 1750827549 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 17, 2017 |
| Last updated in NPPES | January 17, 2017 |
| Mailing address | 3551 W Antelope Rd, Moore, ID 83255-8754 |