Organization
EMERGENCY PHYSICIANS OF PORTLAND, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD DUKE III MD (CEO)
(615) 269-0652
Entity
Organization
Contact information
Practice address
105 REDBUD DR, PORTLAND, TN 37148-1673
(615) 325-7301
(615) 269-0135
Mailing address
2020 21ST AVE S, SUITE 201, NASHVILLE, TN 37212-4314
(615) 269-0652
(615) 269-0135
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3734968
—
TN
Enumeration date
06/06/2006
Last updated
12/09/2008
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