Organization
ROCKY MOUNTAIN PHYSICIAN GROUP LLC
Active
Parent organization
ROCKY MOUNTAIN EMERGENCY PHYSICIANS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROCKY MOUNTAIN EMERGENCY PHYSICIANS, LLC
Authorized official
DANIEL DALLON MD (MANAGER)
(480) 374-7200
Entity
Organization
Contact information
Practice address
777 HOSPITAL WAY, POCATELLO, ID 83201-5175
(480) 421-9700
(480) 421-9700
Mailing address
PO BOX 64568, PHOENIX, AZ 85082-4568
(480) 374-7200
(480) 585-0051
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
01/08/2018
Last updated
11/05/2018
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