Organization
INDIANA EMERGENCY PHYSICIANS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERIK K KING (LLP MANAGING PARTNER)
(866) 916-5259
Entity
Organization
Contact information
Practice address
2200 MARKET STREET, CHARLESTOWN, IN 47111-0069
(812) 256-3301
Mailing address
75 REMIT DR # 1122, CHICAGO, IL 60675-1122
(866) 916-5259
(231) 922-4030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750613485
—
KY
05
—
200173120E
—
IN
05
—
7100116010
—
KY
Enumeration date
02/05/2010
Last updated
06/10/2010
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