Organization
PIKE COUNTY EMERGENCY PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM A COLE JR. MD (CEO)
(800) 726-3627
Entity
Organization
Contact information
Practice address
100 DAWN LN, WAVERLY, OH 45690-9138
(740) 947-2186
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1743116
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000552744
ANTHEM
OH
05
—
2831592
—
OH
Enumeration date
02/15/2008
Last updated
11/10/2011
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