Organization
EMERGENCY MEDICINE SPECIALISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BRADY (PRESIDENT)
(937) 438-8910
Entity
Organization
Contact information
Practice address
1141 N MONROE DR, XENIA, OH 45385-1619
(937) 352-2685
Mailing address
3131 NEWMARK DR STE 220, MIAMISBURG, OH 45342-5400
(937) 436-4658
(937) 436-4984
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0058114
—
OH
Enumeration date
12/07/2011
Last updated
05/15/2024
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