is a Orthopaedic Surgery Of The Spine in Tuscaloosa, Alabama. practices all healthcare services and medical treatments related to Orthopaedic Surgery Of The Spine. The NPI Number for is 1710939228. The last update date is .
's current location address is 305 Paul Bryant Dr E, Tuscaloosa, Alabama. You can contact this provider via phone number 2053450192 and fax number 2052472194. The mailing address for is 305 Paul Bryant Dr E, Tuscaloosa, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 305 Paul Bryant Dr E, Tuscaloosa, Alabama |
| Phone Number | 2053450192 |
| Fax Number | 2052472194 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1710939228 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 305 Paul Bryant Dr E |
|---|---|
| City | Tuscaloosa |
| State | Alabama (AL) |
| Post Code | 354012094 |
| Phone Number | 2053450192 |
| Fax Number | 2052472194 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery Of The Spine |
|---|---|
| Taxonomy | 207Xs0117X |
| Licence No | 23617 |
|
Definition: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorde |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51528377 | AL | BLUE CROSS BLUE SHIELD | |
| 51527937 | AL | BLUE CROSS BLUE SHIELD | |
| 51528848 | AL | BLUE CROSS BLUE SHIELD |
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