is a Pediatric Surgery in Huntsville, Alabama. practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for is 1730130303. The last update date is .
's current location address is Po Box 2705, Huntsville, Alabama. You can contact this provider via phone number 2562651800 and fax number 2562651801. The mailing address for is Po Box 2705, Huntsville, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | Po Box 2705, Huntsville, Alabama |
| Phone Number | 2562651800 |
| Fax Number | 2562651801 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1730130303 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | Po Box 2705 |
|---|---|
| City | Huntsville |
| State | Alabama (AL) |
| Post Code | 358042705 |
| Phone Number | 2562651800 |
| Fax Number | 2562651801 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Surgery |
|---|---|
| Taxonomy | 2086S0120X |
| Licence No | 44685 |
|
Definition: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7100197880 | KY | -- |
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