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Organization
EMERGENCY PHYSICIANS OF PORTLAND, PLLC
Active
Organization
EMERGENCY PHYSICIANS OF PORTLAND, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD DUKE III MD (CEO)
(615) 269-0652
Entity
Organization
Contact information
Practice address
105 REDBUD DR, PORTLAND, TN 37148-1673
(615) 325-7301
(615) 269-0135
Mailing address
2020 21ST AVE S, SUITE 201, NASHVILLE, TN 37212-4314
(615) 269-0652
(615) 269-0135
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3734968
—
TN
Enumeration date
06/06/2006
Last updated
12/09/2008
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