# ROCKY MOUNTAIN EMERGENCY PHYSICIANS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508003104
- **Authorized official:** DR. RANDALL SCOTT FOWLER MD (PRESIDENT)
- **Authorized official phone:** (208) 239-1111

## Contact information

- **Practice address:** 777 HOSPITAL WAY, POCATELLO, ID 83201
- **Practice address phone:** (480) 421-9799
- **Practice address fax:** (480) 421-9899
- **Mailing address:** PO BOX 15070, SCOTTSDALE, AZ 85267-5070
- **Mailing address phone:** (480) 421-9700
- **Mailing address fax:** (480) 421-9899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | M4363 | ID | Yes |

## Other

- **Enumeration date:** 01/19/2009
- **Last updated:** 05/11/2011