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Organization

HARTSELLE EMERGENCY SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT J BUNKER (CEO)
(904) 805-1300
Entity
Organization

Contact information

Practice address
42024 HIGHWAY 195, HALEYVILLE, AL 35565-7054
(205) 485-7371
Mailing address
PO BOX 863535, ORLANDO, FL 32886-3535
(800) 514-1494

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
108861
AL
Enumeration date
03/05/2009
Last updated
09/04/2009
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