American Eagle Emergency Physicians, LLC

NPI #1609248806 in Cheyenne, Wyoming

Provider Information

NPI Number: 1609248806
Entity Type: Organization
Organization Name: American Eagle Emergency Physicians, LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Oct 27, 2015
Last Updated: Nov 4, 2015

Practice Location

Address: 214 E 23RD ST
City: Cheyenne
State: Wyoming
ZIP Code: 82001-3748
Phone: (469) 401-2386

Authorized Official

Name: JOSEPH H GATEWOOD, M.D.
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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