Metasequoia Emergency Physicians, LLC

NPI #1558814327 in Gold Beach, Oregon

Provider Information

NPI Number: 1558814327
Entity Type: Organization
Organization Name: Metasequoia Emergency Physicians, LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Jul 28, 2016
Last Updated: Aug 2, 2016

Practice Location

Address: 94220 4TH ST
City: Gold Beach
State: Oregon
ZIP Code: 97444-7756
Phone: (469) 401-2386

Authorized Official

Name: RUSSELL H HARRIS
Title: OFFICER
Phone: (469) 401-2386

Specialties & Taxonomy Codes

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

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