Sunnyside Emergency Group a Professional LLC

NPI #1033529367 in Sunnyside, Washington

Provider Information

NPI Number: 1033529367
Entity Type: Organization
Organization Name: Sunnyside Emergency Group a Professional LLC
Primary Specialty: Emergency Medicine
Enumeration Date: May 8, 2014
Last Updated: Mar 23, 2022

Practice Location

Address: 1016 TACOMA AVE
City: Sunnyside
State: Washington
ZIP Code: 98944-2263
Phone: (800) 893-9698

Authorized Official

Name: DR. STEPHEN R NICHOLS, MD
Title: PRESIDENT
Phone: (800) 893-9698

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Emergency Medicine	207P00000X	Primary

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