Organization
ISLAND MEDICAL HOSPITALIST LEA LLC
Active
Organization
ISLAND MEDICAL HOSPITALIST LEA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA REESE (PROVIDER ENROLLMENT OFFICER)
(855) 687-0618
Entity
Organization
Contact information
Practice address
5419 N LOVINGTON HWY, HOBBS, NM 88240-9100
(844) 474-4019
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(330) 994-4409
(330) 492-8489
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
10/05/2015
Last updated
02/24/2023
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