| NPI | 1902186364 |
|---|---|
| Doing Business As | GENESIS EMERGENCY PHYSICIAN |
| Entity Type | Organization |
| Authorized Contact | MARK G. ROGERS VP Of Finance / CFO 563-421-6513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2011-08-22 |