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Organization
ROCKY MOUNTAIN EMERGENCY PHYSICIANS, LLC
Active
Organization
ROCKY MOUNTAIN EMERGENCY PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL SCOTT FOWLER MD (PRESIDENT)
(208) 239-1111
Entity
Organization
Contact information
Practice address
777 HOSPITAL WAY, POCATELLO, ID 83201
(480) 421-9799
(480) 421-9899
Mailing address
PO BOX 15070, SCOTTSDALE, AZ 85267-5070
(480) 421-9700
(480) 421-9899
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
M4363
ID
Other
Enumeration date
01/19/2009
Last updated
05/11/2011
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