| NPI | 1699908673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSHIL S VALAVALKAR Physician/Owner 256-306-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL MD29718) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2009-08-25 |