Organization
PEA RIVER EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH W TAYLOR (EXECUTIVE VICE PRESIDENT)
(800) 444-7009
Entity
Organization
Contact information
Practice address
987 DRAYTON STREET, ELBA, AL 36323-1404
(334) 897-2257
Mailing address
815 S PALAFOX ST, STE 300, PENSACOLA, FL 32502-5960
(800) 444-7009
(800) 305-3233
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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