| NPI | 1184773749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS HEIDEL Business Manager 256-213-2229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: AL 25020) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |