Organization
CCHP EMS MO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE GICHERU MD (AUTHORIZED OFFICIAL)
(866) 225-0350
Entity
Organization
Contact information
Practice address
315 S OSTEOPATHY AVE, KIRKSVILLE, MO 63501-6401
(660) 785-1000
Mailing address
PO BOX 224532, DALLAS, TX 75222-4532
(405) 240-9381
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
04/03/2019
Last updated
08/15/2019
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