MEDICARE: EMERGENCY PHYSICIANS MEDICAL GROUP, INC

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
1	207P00000X	Emergency Medicine Physician

General Provider Information

NPI Number	:	1588604375
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMERGENCY PHYSICIANS MEDICAL GROUP, INC

Provider Business Mailing Address
First Line	:	4535 DRESSLER RD NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44718-2545
Country	:	US
Telephone Number	:	330-493-4443
Fax Number	:	330-493-8677

Provider Business Practice Location Address
First Line	:	1800 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2329
Country	:	US
Telephone Number	:	330-493-4443
Fax Number	:	330-493-8677

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NORMAN LABEL
Credential	:	MD
Telephone Number	:	330-493-4443

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	10/24/2007

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