Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Emergency Medical Services |
207PE0004X | 93 | Physician/Emergency Medicine |
| NPI # | 1508003104 |
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| LBN Legal business name | ROCKY MOUNTAIN EMERGENCY PHYSICIANS, LLC | ||||||||||||
| Authorized official | RANDALL FOWLER - (PRESIDENT) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 01/19/2009 | ||||||||||||
| Last updated | 05/11/2011 - About 15 years ago | ||||||||||||
| Identifiers |
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