Homestead Emergency Physicians, LLC
Emergency Medicine in Casper, WY. Organization (NPI-2).
NPI number1912379975
StatusActive
Last updated in NPPESNov 4, 2015
Details
- NPI
- 1912379975
- Entity type
- Organization (NPI-2)
- Legal business name
- Homestead Emergency Physicians, LLC
- Organization subpart
- No
- Enumeration date
- Oct 29, 2015
- Last updated
- Nov 4, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | – | – | Yes |
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
6550 E 2nd StCasper, WY 82609-4321
Phone 469-401-2386
Mailing address
Po Box 98966Las Vegas, NV 89193-8966
Authorized official
Tenna Behm
Officer
4694012386
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All 19 Emergency Medicine Physician providers in Casper · All 2,720 providers in Casper
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