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Organization
THIRD COAST EMERGENCY PHYSICIANS SOUTHWEST PA
Active
Organization
THIRD COAST EMERGENCY PHYSICIANS SOUTHWEST PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM ROBERTS MD (PRESIDENT)
(512) 452-8533
Entity
Organization
Contact information
Practice address
4103 NORTH LOOK 1604 W, SAN ANTONIO, TX 78249-1395
(330) 493-4443
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(330) 493-4443
(330) 493-8677
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
06/03/2006
Last updated
10/10/2019
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