PHYSICIAN PROFESSIONAL FEE COMPONENT

HUNTSVILLE, AL
NPI1083643621
Entity TypeOrganization
Authorized ContactDAVID A FREDERICK
Chief Financial Director
256-533-8362
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies207RC0000X Internal Medicine, Cardiovascular Disease
207RP1001X Internal Medicine, Pulmonary Disease
2084N0400X Psychiatry & Neurology, Neurology
Enumeration Date2006-07-03
Last Update Date2007-07-16
Business Address
PHYSICIAN PROFESSIONAL FEE COMPONENT
101 SIVLEY RD
HUNTSVILLE, AL 35801
Phone number: 256-533-8362
Mailing Address
PHYSICIAN PROFESSIONAL FEE COMPONENT
PO BOX 1028
HUNTSVILLE, AL 35807
Phone number: 256-533-7064