Organization
FAYETTE COUNTY EMERGENCY PHYSICIANS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM A COLE JR. MD (CEO)
(800) 726-3627
Entity
Organization
Contact information
Practice address
1430 COLUMBUS AVE, WASHINGTON COURT HOUSE, OH 43160-1703
(740) 333-2862
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4373
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1723542
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000541946
ANTHEM/BCBS
OH
05
—
2810604
—
OH
Enumeration date
11/08/2007
Last updated
05/20/2008
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