Organization Name: | EMERGENCY MD CONSULTANT LLC |
NPI Number: | 1306223250 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARKUS FORSYTHE (OWNER) |
Mailing Address: | 7320 W Hood Pl Suite 101 Kennewick |
State: | WA US |
Postal Code: | 993367721 |
Phone Number: | 5097371492 |
Fax Number: | |
NPI Enumeration Date: | 04/29/2015 |
NPI Last Update Date: | 05/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |