Organization
SCHEUBER ROAD EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL L ISCOVICH MD (GENERAL PARTNER)
(805) 563-3011
Entity
Organization
Contact information
Practice address
914 S SCHEUBER RD, CENTRALIA, WA 98531-9027
(360) 330-8516
Mailing address
3916 STATE ST, #300, SANTA BARBARA, CA 93105-5602
(800) 230-5160
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/26/2011
Last updated
08/18/2011
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