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NPI Code Detail

MEDICARE: STRONGHOLD EMERGENCY PHYSICIANS

MEDICARE: STRONGHOLD EMERGENCY PHYSICIANS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2AZ0424140OTHERAZBLUE SHIELD

General Provider Information

NPI Number : 1306895909
Entity Type Code : Organization
Provider Name (Legal Business Name) : STRONGHOLD EMERGENCY PHYSICIANS
Provider Business Mailing Address
First Line : 815 S PALAFOX ST
Second Line : 3RD FLOOR
City : PENSACOLA
State : FL
Zip : 32502-5960
Country : US
Telephone Number : 800-444-7009
Fax Number : 800-305-3233
Provider Business Practice Location Address
First Line : 901 W REX ALLEN DR
Second Line :
City : WILLCOX
State : AZ
Zip : 85643-1009
Country : US
Telephone Number : 520-384-3541
Fax Number :
Authorized Official
Title or Position : EXECUTIVE VICE PRESIDENT
Name : MR. JAMES L MURPHY
Credential :
Telephone Number : 800-444-7009
Provider Enumeration Date : 05/09/2006
Last Update Date : 08/14/2008

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Directions to “STRONGHOLD EMERGENCY PHYSICIANS ” Practice Location

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