Organization
ROCKY MOUNTAIN EMERGENCY SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID REESE MD (AUTHORIZED OFFICIAL)
(435) 754-6575
Entity
Organization
Contact information
Practice address
1400 N 500 E, LOGAN, UT 84341
(435) 716-1000
Mailing address
PO BOX 25535, SALT LAKE CITY, UT 84125
(866) 898-7136
(616) 975-9824
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807458300
—
ID
01
—
CJ7889
RAILROAD MEDICARE
—
Enumeration date
06/07/2006
Last updated
08/01/2024
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