Healthcare Provider Details

I. General information

NPI: 1881827806
Provider Name (Legal Business Name): HUALAPAI EMERGENCY PHYSICIAN PARTNERS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2009
Last Update Date: 11/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 SANTA ROSA
KINGMAN AZ
86401-2311
US

IV. Provider business mailing address

861 SW 78TH AVE # 200
PLANTATION FL
33324-3273
US

V. Phone/Fax

Practice location:
  • Phone: 928-263-5000
  • Fax:
Mailing address:
  • Phone: 877-693-5700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DAVID S SCHILLINGER
Title or Position: PRESIDENT
Credential: MD
Phone: 877-693-5700