Andromeda Emergency Physicians, LLC

Organization Active NPI Emergency Medicine Physician · Fort Smith, AR

NPI 1124471362 · NPPES record last updated Jul 22, 2016

Key facts

NPI
1124471362
Entity type
Organization (NPI type 2)
Primary specialty
Emergency Medicine Physician 207P00000X
Legal business name
ANDROMEDA EMERGENCY PHYSICIANS, LLC
Practice address
1001 Towson Ave
Fort Smith, AR 72901-4921
Phone
(469) 401-2386
NPI assigned
Jul 22, 2016
Organization subpart
No

Authorized official

Name
Gregory J Byrne
Title
Officer
Phone
(469) 401-2386

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207P00000X Yes
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP
363A00000X
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363L00000X

Addresses

Primary practice location

1001 Towson Ave
Fort Smith, AR 72901-4921

Mailing address

PO Box 98994
Las Vegas, NV 89193-8994

Other providers in Fort Smith, AR

All providers in Fort Smith, AR · Emergency Medicine Physician in Arkansas

Sources for this page

Verify at the official NPI Registry.