Physician Professional Fee Component

NPI 1083643621 - Internal Medicine - 207RC0000X

NPI Details
NPI 1083643621
Enumeration Date 07/03/2006
Last Updated 07/16/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DAVID A DAVID
Position CHIEF FINANCIAL DIRECTOR
Phone (256) 533-8362
Fax (256) 533-8262
Practice Location
101 SIVLEY RD
HUNTSVILLE AL, 35801, US
Phone (256) 533-8362
Fax (256) 533-8262
Business Location
PO BOX 1028
HUNTSVILLE AL, 35807, US
Phone (256) 533-7064
Fax (256) 704-0115
Toxanomy
Taxonomy Code 207RC0000X
License State
License Number
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According to our database, Physician Professional Fee Component NPI is 1083643621, taxonomy code is 207RC0000X Physician Professional Fee Component physically located at 101 Sivley Rd, Huntsville AL, 35801. NPI Number 1033115704 has the healthcare provider type.

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1083643621 NPI number is provided on an as is basis without warranty of any kind. 1083643621 is maintained by the National Plan & Provider Enumeration System. The contents of Physician Professional Fee Component are for informational purposes only.