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Organization
MOUNTAIN MEDICAL ENTERPRISES, PLLC
Active
Organization
MOUNTAIN MEDICAL ENTERPRISES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIR AHMAD MD (PRESIDENT)
(800) 962-3303
Entity
Organization
Contact information
Practice address
81 BALL PARK RD, HARLAN, KY 40831-1701
(606) 573-8201
Mailing address
PO BOX 96288, OKLAHOMA CITY, OK 73143-6288
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
NULL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
10/19/2006
Last updated
06/25/2014
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