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Organization

ST TAMMANY EMERGENCY PHYSICIANS GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRETT MCINTYRE (CFO)
(850) 602-0625
Entity
Organization

Contact information

Practice address
1202 S TYLER ST, COVINGTON, LA 70433
(985) 898-4000
Mailing address
PO BOX 721736, NORMAN, OK 73070-8326
(405) 240-9381
(405) 341-9217

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03858039
MS
05
2384546
LA
Enumeration date
03/03/2015
Last updated
12/29/2025
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