Prairie Trails Emergency Physicians

NPI #1972894665 in Corydon, Iowa

Provider Information

NPI Number: 1972894665
Entity Type: Organization
Organization Name: Prairie Trails Emergency Physicians
Primary Specialty: Emergency Medicine
Enumeration Date: Apr 28, 2011
Last Updated: Apr 28, 2011

Practice Location

Address: 417 S EAST ST
City: Corydon
State: Iowa
ZIP Code: 50060-1860
Phone: (641) 872-5240

Authorized Official

Name: JOSEPH W TAYLOR
Title: EXECUTIVE VICE PRESIDENT EMCARE PHY
Phone: (800) 444-7009

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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