Organization
BONANZA PEAK EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW SCOGGINS (OFFICER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
360 S LOLA LN, PAHRUMP, NV 89048-0884
(973) 251-1132
Mailing address
350 W CEDAR ST FL 4, PENSACOLA, FL 32502-4910
(973) 251-1132
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
04/20/2017
Last updated
12/09/2019
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