Organization
EMERGENCY PRACTICE ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE A. KOCH-HOTH (CEO)
(800) 458-5003
Entity
Organization
Contact information
Practice address
2016 S MAIN ST, MARYVILLE, MO 64468-2655
(660) 562-2600
Mailing address
PO BOX 78785, MILWAUKEE, WI 53278-8785
(405) 682-3303
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100264122-00
—
NE
05
—
1679990733
—
IA
05
—
1679990733
—
MO
Enumeration date
03/26/2014
Last updated
04/19/2016
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