Organization
WEST LEE EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH W TAYLOR (EXEC VICE PRESIDENT)
(800) 444-7009
Entity
Organization
Contact information
Practice address
611 W LEE AVE, OSCEOLA, AR 72370-3001
(870) 563-7000
Mailing address
815 S PALAFOX ST, SUITE 300, PENSACOLA, FL 32502-5960
(800) 444-7009
(800) 305-3233
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871872846
BCBSAR
AR
05
—
190936002
—
AR
01
—
5G960
MEDICARE PTAN
AR
Enumeration date
08/09/2011
Last updated
05/15/2012
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