Organization · NPI-2

Bc Missouri Emergency Physicians, LLP

Emergency Medicine · Farmington, MO

NPI number1396760062

StatusActive

Last updated in NPPESAug 6, 2010

Details

NPI: 1396760062
Entity type: Organization (NPI-2)
Legal business name: Bc Missouri Emergency Physicians, LLP
Organization subpart: No
Enumeration date: Jul 13, 2006
Last updated: Aug 6, 2010

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207P00000X	Emergency Medicine	–	–	Yes
363A00000X	Physician Assistant	–	–
363L00000X	Nurse Practitioner	–	–

Practice location

1101 W Liberty St
Farmington, MO 63640-1921

Phone 573-756-6451 · Fax 573-756-1408

Mailing address

75 Remit Drive
Suite 1910
Chicago, IL 60675-1910

Phone 800-701-3381 · Fax 239-939-1682

Authorized official

James M Johnson
LLP Managing Partner
8002535358

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