| NPI | 1710962550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN TEMPLIN Director Of Finance 205-445-0141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology |
| 2085R0001X Radiology Radiation Oncology | |
| 2085R0202X Radiology Diagnostic Radiology | |
| 2085R0204X Radiology Vascular & Interventional Radiology | |
| 2088F0040X Urology Female Pelvic Medicine and Reconstructive Surgery | |
| 207RX0202X Internal Medicine Medical Oncology | |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2025-03-06 |