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NPI Code Detail

MEDICARE: EMERGENCY PHYSICIANS INTEGRATED CARE, LLC

MEDICARE: EMERGENCY PHYSICIANS INTEGRATED CARE, LLC
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
1207PE0004XEmergency Medical Services (Emergency Medicine) Physician

General Provider Information

NPI Number : 1669562419
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMERGENCY PHYSICIANS INTEGRATED CARE, LLC
Provider Business Mailing Address
First Line : 370 E SOUTH TEMPLE
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84111-1206
Country : US
Telephone Number : 801-463-7415
Fax Number :
Provider Business Practice Location Address
First Line : 2500 S STATE ST
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84115-3110
Country : US
Telephone Number : 801-461-6666
Fax Number :
Authorized Official
Title or Position : CEA
Name : ROBERT PARKER JR.
Credential :
Telephone Number : 801-463-7415
Provider Enumeration Date : 10/13/2006
Last Update Date : 08/22/2020

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Directions to “EMERGENCY PHYSICIANS INTEGRATED CARE, LLC ” Practice Location

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