Moon Lake Emergency Physicians LLC
NPI #1831561455 in Phenix City, Alabama
Provider Information
- NPI Number
- 1831561455
- Entity Type
- Organization
- Organization Name
- Moon Lake Emergency Physicians LLC
- Primary Specialty
- Emergency Medicine
- Enumeration Date
- Oct 22, 2015
- Last Updated
- Sep 10, 2019
Practice Location
- Address
- 4401 RIVER CHASE DR
- City
- Phenix City
- State
- Alabama
- ZIP Code
- 36867-7483
- Phone
- (469) 401-2386
Authorized Official
- Name
- KATHLEEN KONDAS
- Title
- OFFICER
- Phone
- (954) 838-2371
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medicine |
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