Dds

NPI 1134529308 - Clinic/Center - 261QP3300X

NPI Details
NPI 1134529308
Enumeration Date 08/25/2014
Last Updated 08/25/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name ROBERT GUNTER ROBERT
Position PHYSICIAN
Phone (205) 989-2328
Fax
Practice Location
2650 ROCKY RIDGE LN
BIRMINGHAM AL, 35216-4810, US
Phone (205) 989-2328
Fax
Business Location
113 CAMELLIA DR
MOUNTAIN BRK AL, 35213-2534, US
Phone (205) 871-5528
Fax
Toxanomy
Taxonomy Code 261QP3300X
License State Alabama
License Number 17883
Remove 1134529308 NPI Number
 

According to our database, Dds NPI is 1134529308, taxonomy code is 261QP3300X and license number is 17883, license state is located at Alabama. Dds physically located at 2650 Rocky Ridge Ln, Birmingham AL, 35216-4810. NPI Number 1033115704 has the healthcare provider type.

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1134529308 NPI number is provided on an as is basis without warranty of any kind. 1134529308 is maintained by the National Plan & Provider Enumeration System. The contents of Dds are for informational purposes only.