Martella Emergency Group LLC

NPI #1851688774 in Louisiana, Missouri

Provider Information

NPI Number: 1851688774
Entity Type: Organization
Organization Name: Martella Emergency Group LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Jun 29, 2011
Last Updated: Jan 14, 2016

Practice Location

Address: 2305 GEORGIA ST
City: Louisiana
State: Missouri
ZIP Code: 63353-2559
Phone: (573) 754-5531

Authorized Official

Name: LISHA C FALK
Title: VP OF CONTRACTING
Phone: (800) 893-9698

Specialties & Taxonomy Codes

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

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