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Organization

NORTHWEST HOSPITALIST PHYSICIANS LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DERIK K KING MD (LLP MANAGING PARTNER)
(866) 916-5259
Entity
Organization

Contact information

Practice address
100 FAIRFIELD DR, SENECA, PA 16346-2130
(814) 677-1585
(814) 676-7805
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
208M00000X
Hospitalist Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1022741880001
PA
01
2654404
BCBS
PA
Enumeration date
06/09/2011
Last updated
10/12/2011
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