Organization
WEST SIDE EMERGENCY PHYSICIANS, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERIK K KING (MANAGING PARTNER)
(866) 916-5259
Entity
Organization
Contact information
Practice address
921 E FRANKLIN ST, KENTON, OH 43326-2020
(419) 673-0761
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
01/13/2014
Last updated
01/21/2020
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