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ROCKY MOUNTAIN EMERGENCY PHYSICIANS, L.L.C.

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Company Details

Name: ROCKY MOUNTAIN EMERGENCY PHYSICIANS, L.L.C.
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 14 Aug 1996 (29 years ago)
Financial Date End: 31 Aug 2026
Entity Number: 18181
Place of Formation: IDAHO
File Number: 18181
ZIP code: 83201
County: Bannock County
Principal Address: 777 HOSPITAL WAY POCATELLO, ID 83201
Mailing Address: 777 HOSPITAL WAY POCATELLO, ID 83201-5175

Agent

Name Role Address
DANIEL DALLON MD Agent 777 HOSPITAL WAY, EMERGENCY DEPT, POCATELLO, ID 83201

Manager

Name Role Address Appointed On
Daniel Dallon Manager 777 HOSPITAL WAY, POCATELLO, ID 83201-5175 2020-08-03

National Provider Identifier

NPI Number:
1508003104

Authorized Person:

Name:
DR. RANDALL SCOTT FOWLER
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207PE0004X - Emergency Medical Services (Emergency Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
4804219899

Filing

Filing Name Filing Number Filing date
Annual Report 0006362355 2025-07-18
Annual Report 0005820831 2024-07-15
Annual Report 0005324748 2023-07-17
Annual Report 0004862050 2022-08-15
Annual Report 0004358448 2021-07-26

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Date of last update: 25 Aug 2025

Sources: Idaho Secretary of State