Organization
RIVER2 EMERGENCY PHYSICIANS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERIK K KING MD (LLP MANAGING PARTNER)
(866) 916-5259
Entity
Organization
Contact information
Practice address
405 WEST JACKSON STREET, CARBONDALE, IL 62901-1467
(618) 549-0721
(618) 457-0469
Mailing address
75 REMIT DR # 3274, CHICAGO, IL 60675-3274
(866) 916-5259
(231) 922-4030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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