Pottawatomie Emergency Physicians LLC

NPI #1629392972 in Shawnee, Oklahoma

Provider Information

NPI Number: 1629392972
Entity Type: Organization
Organization Name: Pottawatomie Emergency Physicians LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Mar 16, 2010
Last Updated: Apr 24, 2014

Practice Location

Address: 1102 W MACARTHUR ST
City: Shawnee
State: Oklahoma
ZIP Code: 74804-1743
Phone: (405) 878-8110

Authorized Official

Name: ROSS RONAN
Title: VICE PRESIDENT
Phone: (469) 401-2386

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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