Organization
APP ICU, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES SOMERBY (SVP)
(855) 246-8607
Entity
Organization
Contact information
Practice address
405 W COUNTRY CLUB RD, ROSWELL, NM 88201-5209
(575) 622-8170
(629) 216-0568
Mailing address
5121 MARYLAND WAY STE 300, BRENTWOOD, TN 37027-7516
(855) 246-8607
(629) 216-0568
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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