Organization
SOUTHERN OHIO EMERGENCY PHYSICIANS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERIK K KING (LLP MANAGING PARTNER)
(866) 916-5259
Entity
Organization
Contact information
Practice address
904 SCIOTO ST, URBANA, OH 43078-2226
(937) 653-5231
Mailing address
75 REMIT DR # 1122, CHICAGO, IL 60675-1122
(866) 916-5259
(231) 922-4030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0061528
—
OH
Enumeration date
02/24/2012
Last updated
06/29/2012
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