Organization
PETIT JEAN EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES L. MURPHY (EXE. VICE PRESIDENT)
(214) 712-2074
Entity
Organization
Contact information
Practice address
4 HOSPITAL DR, MORRILTON, AR 72110-4510
(501) 977-2398
Mailing address
PO BOX 7306, PHILADELPHIA, PA 19101-7306
(800) 355-0808
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5F465
BCBS
AR
Enumeration date
05/22/2006
Last updated
04/20/2008
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