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Organization

ELIZABETHTOWN EMERGENCY PHYSICIANS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT GILBERT MD (PRESIDENT)
(888) 400-8870
Entity
Organization

Contact information

Practice address
913 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2503
(877) 783-6257
Mailing address
PO BOX 950112, DEPT. #52387, LOUISVILLE, KY 40295-0112
(888) 400-8870
(317) 870-0499

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
65935975
KY
05
78902350
KY
05
95900734
KY
Enumeration date
06/17/2006
Last updated
07/21/2008
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