Organization
PIKEPOND EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS RONAN (VP OF ANCILLARY SERVICES)
(303) 495-1240
Entity
Organization
Contact information
Practice address
1 ARH LANE, LOW MOOR, VA 24457
(540) 862-6011
(540) 862-6472
Mailing address
18167 US HIGHWAY 19 N STE 650, CLEARWATER, FL 33764-6576
(800) 507-8874
(727) 536-2896
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
09/19/2013
Last updated
10/18/2013
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