Organization
TRI- STATE EMERGENCY PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK WILLIAM SWIFT DO (OWNER)
(330) 386-2010
Entity
Organization
Contact information
Practice address
425 W 5TH ST, EAST LIVERPOOL, OH 43920-2405
(330) 386-2010
Mailing address
3997 FOX HAVEN DRIVE, CANFIELD, OH 44406
(330) 270-0056
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009401000
—
WV
05
—
0143884
—
OH
Enumeration date
09/21/2006
Last updated
07/09/2008
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