Emergency Medicine Physicians of Estill County,pllc

NPI #1407235666 in Irvine, Kentucky

Provider Information

NPI Number: 1407235666
Entity Type: Organization
Organization Name: Emergency Medicine Physicians of Estill County,pllc
Primary Specialty: Emergency Medicine
Enumeration Date: May 21, 2015
Last Updated: Jun 25, 2018

Practice Location

Address: 60 MERCY CT
City: Irvine
State: Kentucky
ZIP Code: 40336
Phone: (330) 493-4443

Authorized Official

Name: DOMINIC BAGNOLI
Title: EXECUTIVE CHAIRMAN
Phone: (330) 493-4443

Specialties & Taxonomy Codes

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

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