Organization
INDIANA EMERGENCY PHYSICIANS, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERIK K KING M.D. (LLP MANAGING PARTNER)
(866) 916-5259
Entity
Organization
Contact information
Practice address
1 SISTERS OF PROVIDENCE, SAINT MARY OF THE WOODS, IN 47876-1007
(812) 535-1051
Mailing address
75 REMIT DR # 1122, CHICAGO, IL 60675-1122
(800) 210-7034
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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