Organization
PREMIER EMERGENCY PHYSICIANS OF IDAHO MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH H. GATEWOOD MD (PRESIDENT PREMIER EMERENCY PHYSICIA)
(800) 444-7009
Entity
Organization
Contact information
Practice address
3 JACOBS GULCH RD, KELLOGG, ID 83837-2023
(208) 784-1221
Mailing address
PO BOX 8120, PHILADELPHIA, PA 19101-8120
(800) 444-7009
(800) 305-3233
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
10/25/2006
Last updated
03/24/2008
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