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1922505643
NATALIE ANN DERISE
BIRMINGHAM, AL
NPI
1922505643
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: AL MD.39063)
Enumeration Date
2018-04-09
Last Update Date
2024-09-24
Business Address
NATALIE ANN DERISE MD
619 19TH ST S
BIRMINGHAM, AL 35233-1900
Phone number: 205-934-4011
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Mailing Address
NATALIE ANN DERISE MD
PO BOX 55310
BIRMINGHAM, AL 35255-5310
Phone number: 205-731-9701
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