Organization
EAGLE PEAK EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA BUTCHER (AO)
(973) 251-1132
Entity
Organization
Contact information
Practice address
8460 CHAMPIONS GATE BLVD, CHAMPIONS GATE, FL 33896-9301
(407) 530-2000
Mailing address
5565 CENTERVIEW DR STE 107, RALEIGH, NC 27606-3563
(973) 251-1132
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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