Organization
TRAILHEAD INPATIENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH W TAYLOR (EXEC, VICE PRESIDENT, EPP)
(800) 444-7009
Entity
Organization
Contact information
Practice address
111 S 5TH ST, DOUGLAS, WY 82633-2434
(307) 358-2122
(800) 305-3233
Mailing address
815 S PALAFOX ST, 3RD FLOOR, PENSACOLA, FL 32502-5960
(800) 444-7009
(800) 305-3233
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
04/02/2013
Last updated
08/12/2013
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