| NPI | 1245071620 |
|---|---|
| Doing Business As | FIVE RIVERS MEDICAL CENTER EMERGENCY PHYSICIAN PROFESSIONAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | RANDALL DEWAYNE BARYMON CEO 870-892-6200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Enumeration Date | 2024-06-01 |
| Last Update Date | 2024-06-01 |