Organization
EAST PASCO EMERGENCY CONSULTANT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WILCHER DO (MEDICAL DIRECTOR)
(813) 783-6112
Entity
Organization
Contact information
Practice address
7050 GALL BLVD, ZEPHYRHILLS, FL 33541-1347
(813) 783-6111
Mailing address
PO BOX 41622, PHILADELPHIA, PA 19101-1622
(180) 035-5381
(610) 834-2862
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
98761
BLUE SHIELD
FL
Enumeration date
05/25/2006
Last updated
04/20/2008
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