Easternshore Obgyn

NPI 1356416879 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1356416879
Enumeration Date 11/21/2006
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MITZI M MITZI
Position PHYSICIAN
Phone (251) 928-4113
Fax (251) 928-7177
Practice Location
8552 MORPHY AVE
FAIRHOPE AL, 36532-3696, US
Phone (251) 928-4113
Fax (251) 928-7177
Business Location
PO BOX 1134
FAIRHOPE AL, 36533-1134, US
Phone (251) 928-4113
Fax (251) 928-7177
Toxanomy
Taxonomy Code 207V00000X
License State
License Number
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According to our database, Easternshore Obgyn NPI is 1356416879, taxonomy code is 207V00000X Easternshore Obgyn physically located at 8552 Morphy Ave, Fairhope AL, 36532-3696. NPI Number 1033115704 has the healthcare provider type.

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1356416879 NPI number is provided on an as is basis without warranty of any kind. 1356416879 is maintained by the National Plan & Provider Enumeration System. The contents of Easternshore Obgyn are for informational purposes only.