Terry Pangburn
NPI 1164693545 · on the registry since 2008 · sole proprietor
Practice
- Address
- 109 S Elm St
Moulton, IA 52572 - Phone
- (641) 856-7734
Registry record
- Primary taxonomy
- Driver
172A00000X
- Licence states on file
- IA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-03-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa