| NPI | 1487660890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY A JOHANSEN President 205-421-2101 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2024-04-24 |