| NPI | 1306978507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WILLIAM HEIDEPRIEM, Owner 205-423-2495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: AL 23846) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2014-01-15 |