Organization
GREEN RIVER EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD G ZIMMERMAN (PRESIDENT)
(214) 712-2000
Entity
Organization
Contact information
Practice address
1801 ASHLEY CIR, BOWLING GREEN, KY 42104-3362
(270) 793-1000
Mailing address
PO BOX 37758, PHILADELPHIA, PA 19101-5058
(800) 355-3818
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
11/17/2008
Last updated
06/17/2011
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