St. John's Emergency Physicians, Inc., P.s.
NPI #1154354660 in Longview, Washington
Provider Information
- NPI Number
- 1154354660
- Entity Type
- Organization
- Organization Name
- St. John's Emergency Physicians, Inc., P.s.
- Primary Specialty
- Emergency Medicine
- Enumeration Date
- Jul 8, 2006
- Last Updated
- Apr 5, 2020
Practice Location
- Address
- 1615 DELAWARE ST
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-2367
- Phone
- (360) 414-2000
Authorized Official
- Name
- DR. RODERICK W. BEAVER, MD
- Title
- PRESIDENT
- Phone
- (360) 448-0587
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medicine |
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