Orthopaedic Sports Medicine Clinic Of Alabama, P.c.

NPI 1215206099 - Non-Pharmacy Dispensing Site - 332900000X

NPI Details
NPI 1215206099
Enumeration Date 12/22/2011
Last Updated 12/22/2011
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name KENNETH KENNETH
Position PRESIDENT
Phone (205) 822-9595
Fax
Practice Location
200 MONTGOMERY HWY
SUITE 200
VESTAVIA AL, 35216-1842, US
Phone (205) 822-9595
Fax
Business Location
2980 N BEVERLY GLEN CIR
SUITE 301
LOS ANGELES CA, 90077-1726, US
Phone (310) 474-9809
Fax
Toxanomy
Taxonomy Code 332900000X
License State
License Number
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According to our database, Orthopaedic Sports Medicine Clinic Of Alabama, P.c. NPI is 1215206099, taxonomy code is 332900000X Orthopaedic Sports Medicine Clinic Of Alabama, P.c. physically located at 200 Montgomery Hwy, Vestavia AL, 35216-1842. NPI Number 1033115704 has the healthcare provider type.

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1215206099 NPI number is provided on an as is basis without warranty of any kind. 1215206099 is maintained by the National Plan & Provider Enumeration System. The contents of Orthopaedic Sports Medicine Clinic Of Alabama, P.c. are for informational purposes only.