Organization
EMERGENCY PHYSICIANS AT SIERRA VISTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES L MURPHY (EXE VICE PRESIDENT EPP INC GENER)
(800) 444-7009
Entity
Organization
Contact information
Practice address
800 E 9TH AVE, TRUTH OR CONSEQUENCES, NM 87901-1954
(505) 894-2111
Mailing address
PO BOX 42486, PHILADELPHIA, PA 19101-2486
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00581569
—
NM
01
—
NM007F87
BLUE SHIELD
NM
Enumeration date
05/09/2006
Last updated
04/20/2008
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