Provider Demographics
NPI:1225355118
Name:AMCE PHYSICIANS GROUP
Entity Type:Organization
Organization Name:AMCE PHYSICIANS GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WES
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-440-3305
Mailing Address - Street 1:205 26TH ST
Mailing Address - Street 2:SUITE 14
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84401-3119
Mailing Address - Country:US
Mailing Address - Phone:800-440-3305
Mailing Address - Fax:877-468-4543
Practice Address - Street 1:205 26TH ST
Practice Address - Street 2:SUITE 14
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84401-3119
Practice Address - Country:US
Practice Address - Phone:800-440-3305
Practice Address - Fax:877-468-4543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-30
Last Update Date:2010-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty