is a Emergency Medical Services in , . practices all healthcare services and medical treatments related to Emergency Medical Services. The NPI Number for is 1376595959. The last update date is .
's current location address is , , . You can contact this provider via phone number . The mailing address for is , , . To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | , , |
Phone Number | |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1376595959 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | |
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City | |
State | () |
Post Code | |
Phone Number | |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Emergency Medical Services |
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Taxonomy | 207Pe0004X |
Licence No | 05-30418 |
Definition: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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200252510C | KS | -- | |
107025 | KS | BLUE SHIELD | |
200252510F | KS | -- |
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