Organization
KINGSTON EMERGENCY PHYSICIANS MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN P MARON MD (PRESIDENT)
(925) 482-8233
Entity
Organization
Contact information
Practice address
9440 POPPY DR, DALLAS, TX 75218-3652
(214) 324-6100
(386) 274-7801
Mailing address
PO BOX 11816, DAYTONA BEACH, FL 32120-1816
(386) 274-7800
(386) 274-7801
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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