| NPI | 1780613059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED S STUCKY President 256-265-7480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: AL 0008023) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: AL 00016783) |
| 2086S0129X Surgery, Vascular Surgery (Licence: AL 00017567) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2008-06-06 |