Organization
SPRINGFIELD EMERGENCY PHYSICIANS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE NATHAN (PRESIDENT/TRESURER)
(937) 325-0531
Entity
Organization
Contact information
Practice address
2615 E HIGH ST, SPRINGFIELD, OH 45505-1412
(937) 325-0531
Mailing address
6896 W SNOWVILLE RD, BRECKSVILLE, OH 44141-3214
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000016783
ANTHEM
OH
05
—
0951457
—
OH
Enumeration date
04/14/2006
Last updated
04/20/2008
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