Organization
TRIAGE EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES L MURPHY (EXECUTIVE VICE PRESIDENT)
(800) 444-7009
Entity
Organization
Contact information
Practice address
1205 MCLAIN ST, NEWPORT, AR 72112-3533
(870) 523-8911
Mailing address
P.O. BOX 37638, PHILADELPHIA, PA 19101
(800) 444-7009
(800) 305-3233
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5F780
BLUE SHIELD
AR
Enumeration date
04/24/2007
Last updated
04/20/2008
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