Doctor Name: | MR. DARRYL BRADLEY ESTES |
NPI Number: | 1265607550 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 01237 |
Business Practice Address: | Rr 2 Box 2699 Jonesville, VA - 242639527 |
Business Phone Number: | 2763464180 |
Business Fax Number: | |
Mailing Address: | Rr 2 Box 2699, JONESVILLE |
State: | VA |
Postal Code: | 242639527 |
Phone Number: | 2763464180 |
Fax Number: | |
NPI Enumeration Date: | 04/28/2008 |
NPI Last Update Date: | 05/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 01237 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |