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Organization

CHAMPION EMERGENCY PHYSICIANS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RUSSELL HARRIS M.D. (PRESIDENT)
(469) 401-2386
Entity
Organization

Contact information

Practice address
900 CATON AVE, MAILSTOP 134, BALTIMORE, MD 21229-5201
(410) 368-2000
(410) 368-2009
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
(469) 401-2386
(214) 712-2444

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Enumeration date
06/18/2012
Last updated
12/22/2013
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