Elise Debruler Agostinelli, OD

NPI #1013528579 in Birmingham, Alabama

Provider Information

NPI Number: 1013528579
Entity Type: Individual
Name: Elise Debruler Agostinelli, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Aug 10, 2020
Last Updated: Jun 28, 2021

Practice Location

Address: 1720 UNIVERSITY BLVD
City: Birmingham
State: Alabama
ZIP Code: 35233-1816
Phone: (205) 488-0736

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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