Organization
PEONY EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES L. MURPHY (EXECUTIVE VICE PRESIDENT)
(630) 941-4330
Entity
Organization
Contact information
Practice address
2200 MARKET ST, CHARLESTOWN, IN 47111-9553
(812) 256-3301
Mailing address
PO BOX 13607, PHILADELPHIA, PA 19101-3607
(800) 732-1066
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000512403
BLUE SHIELD
IN
Enumeration date
01/09/2007
Last updated
04/20/2008
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