| Doctor Name: | MR. STEPHEN MICHAEL EMERSON |
| NPI Number: | 1306143177 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN |
| License Number: | R74327 |
| Business Practice Address: | 100 Cheyenne Ave Lame Deer, MT - 59043 |
| Business Phone Number: | 4064774400 |
| Business Fax Number: | 4064774427 |
| Mailing Address: | 100 Cheyenne Ave, LAME DEER |
| State: | MT |
| Postal Code: | 59043 |
| Phone Number: | 4064774400 |
| Fax Number: | 4064774427 |
| NPI Enumeration Date: | 02/14/2011 |
| NPI Last Update Date: | 02/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WE0003X |
| License Number: | R74327 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Emergency |
| Taxonomy Definition: | |