Imc-pediatric & Adolescent Medicine, P.c.

NPI 1205905361 - Pediatrics - 2080A0000X

NPI Details
NPI 1205905361
Enumeration Date 11/06/2006
Last Updated 01/15/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name R. BARRE R. BARRE
Position EVP
Phone (251) 435-5437
Fax (251) 435-6744
Practice Location
3290 DAUPHIN ST
SUITE 301
MOBILE AL, 36606-4062, US
Phone (251) 435-5437
Fax (251) 435-6744
Business Location
3290 DAUPHIN ST
SUITE 301
MOBILE AL, 36606-4062, US
Phone (251) 435-5437
Fax (251) 435-6744
Toxanomy
Taxonomy Code 2080A0000X
License State
License Number
Remove 1205905361 NPI Number
 

According to our database, Imc-pediatric & Adolescent Medicine, P.c. NPI is 1205905361, taxonomy code is 2080A0000X Imc-pediatric & Adolescent Medicine, P.c. physically located at 3290 Dauphin St, Mobile AL, 36606-4062. NPI Number 1033115704 has the healthcare provider type.

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1205905361 NPI number is provided on an as is basis without warranty of any kind. 1205905361 is maintained by the National Plan & Provider Enumeration System. The contents of Imc-pediatric & Adolescent Medicine, P.c. are for informational purposes only.