Organization
NORTHWEST HOSPITALIST 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
100 FAIRFIELD DR, SENECA, PA 16346-2130
(814) 676-7600
Mailing address
75 REMITTANCE DRIVE, SUITE 1122, CHICAGO, IL 60675-1122
(866) 916-5259
(231) 922-4030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102274188-0001
—
PA
01
—
2101339
BLUE SHIELD
PA
Enumeration date
02/03/2009
Last updated
06/16/2009
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