Organization
PREFERRED EMERGENCY SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN D MCMAHAN MD (PRESIDENT)
(765) 825-5131
Entity
Organization
Contact information
Practice address
1941 VIRGINIA AVE, CONNERSVILLE, IN 47331-2833
(765) 825-5131
Mailing address
PO BOX 374, CONNERSVILLE, IN 47331-0374
(513) 779-7770
(513) 779-7773
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200409680A
—
IN
Enumeration date
08/16/2010
Last updated
08/16/2010
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