Providence Healthcare Services

NPI #1013113760 in Mobile, Alabama

Provider Information

NPI Number: 1013113760
Entity Type: Organization
Organization Name: Providence Healthcare Services
Primary Specialty: Obstetrics & Gynecology - Gynecologic Oncology
Enumeration Date: Jun 21, 2007
Last Updated: Sep 17, 2012

Practice Location

Address: 6701 AIRPORT BLVD
Address 2: SUITE B127
City: Mobile
State: Alabama
ZIP Code: 36608-6705
Phone: (251) 631-3490

Authorized Official

Name: MR. CLARK P. CHRISTIANSON
Title: PRESIDENT
Phone: (251) 631-3574

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology - Gynecologic Oncology — Gynecologic Oncology	207VX0201X	Primary

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