Healthcare Provider Details
I. General information
NPI: 1558399105
Provider Name (Legal Business Name): SPRINGHILL EMERGENCY PHYSICIANS, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/30/2006
Last Update Date: 11/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3719 DAUPHIN ST
MOBILE AL
36608-1753
US
IV. Provider business mailing address
PO BOX 10179
WESTMINSTER CA
92685-0179
US
V. Phone/Fax
- Phone: 251-460-5333
- Fax:
- Phone: 562-468-0227
- Fax: 562-924-5830
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICHAEL
BINDON
Title or Position: DIRECTOR
Credential: MD
Phone: 904-421-1983