MOON LAKE EMERGENCY PHYSICIANS LLC

PHENIX CITY, AL
NPI1831561455
Entity TypeOrganization
Authorized ContactKATHLEEN KONDAS
Officer
954-838-2371
Organization Subpart ?No
Primary Taxonomy207P00000X Emergency Medicine
Enumeration Date2015-10-22
Last Update Date2019-09-10
Business Address
MOON LAKE EMERGENCY PHYSICIANS LLC
4401 RIVER CHASE DR
PHENIX CITY, AL 36867-7483
Phone number: 469-401-2386
Mailing Address
MOON LAKE EMERGENCY PHYSICIANS LLC
13737 NOEL RD STE 1600
DALLAS, TX 75240-1331
Phone number: 954-838-2371
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