NPI 1124471362 · live from the CMS NPI Registry
Andromeda Emergency Physicians, LLC
Emergency Medicine in Fort Smith, AR. National Provider Identifier 1124471362, active.
NPI record
| NPI | 1124471362 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 1001 Towson Ave, Fort Smith, AR 72901 |
| Practice phone | 469-401-2386 |
| Mailing address | Po Box 98994, Las Vegas, NV 89193 |
| Enumerated | July 22, 2016 |
| Last updated | July 22, 2016 |
| Authorized official | Gregory Byrne, Officer |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | — |
| Nurse Practitioner | 363L00000X | — |
| Emergency Medicine primary | 207P00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.