Organization
ANACOSTIA RIVER EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL HARRIS M.D. (PRESIDENT)
(469) 401-2386
Entity
Organization
Contact information
Practice address
1310 SOUTHERN AVE SE, WASHINGTON, DC 20032-4623
(202) 574-6000
(215) 957-2875
Mailing address
13737 NOEL ROAD, STE 1600, DALLAS, TX 75240
(469) 401-2386
(214) 712-2444
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D45941
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1931
CONTRACT NUMBER
PA
Enumeration date
05/18/2009
Last updated
03/03/2014
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