Organization
SOUTHERN OHIO EMERGENCY PHYSICIANS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERIK K KING MD (LLP MANAGING PARTNER)
(866) 916-5259
Entity
Organization
Contact information
Practice address
921 E FRANKLIN ST, KENTON, OH 43326-2020
(419) 475-8130
(419) 673-1097
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0062787
—
OH
Enumeration date
03/22/2012
Last updated
06/08/2012
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