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NPI Code Detail

MEDICARE: BUFFALO SPRINGS EMERGENCY PHYSICIANS

MEDICARE: BUFFALO SPRINGS 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
10036MQOTHERTXBLUE SHIELD

General Provider Information

NPI Number : 1447209986
Entity Type Code : Organization
Provider Name (Legal Business Name) : BUFFALO SPRINGS EMERGENCY PHYSICIANS
Provider Business Mailing Address
First Line : 815 S PALAFOX ST
Second Line : 3RD FLOOR
City : PENSACOLA
State : FL
Zip : 32502-5937
Country : US
Telephone Number : 800-444-7009
Fax Number : 800-305-3233
Provider Business Practice Location Address
First Line : 2412 50TH ST
Second Line : EMERGENCY DEPARTMENT
City : LUBBOCK
State : TX
Zip : 79412-2504
Country : US
Telephone Number : 806-788-4100
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. JOSEPH H GATEWOOD
Credential : M.D.
Telephone Number : 800-444-7009
Provider Enumeration Date : 05/10/2006
Last Update Date : 04/20/2008

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Directions to “BUFFALO SPRINGS EMERGENCY PHYSICIANS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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