IndividualActive
Terry Pangburn
NPI 1164693545 · Driver · Moulton, IA
Provider details
- NPI number
- 1164693545
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 022AA0001 (IA)
Specialties & taxonomies
Other Service Providers
Practice location
109 S Elm St
Moulton, IA 52572-1441
Phone: (641) 856-7734
Approximate (ZIP-level) locationGet directions
Mailing address
109 S Elm St
Moulton, IA 52572-1441
Registry dates
- Enumerated
- 2008-03-13
- Last updated
- 2008-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.