Ivy Creek of Elmore, LLC
NPI #1265027908 in Wetumpka, Alabama
Provider Information
- NPI Number
- 1265027908
- Entity Type
- Organization
- Organization Name
- Ivy Creek of Elmore, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- IVY CREEK OF ELMORE, LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Mar 4, 2021
- Last Updated
- Jun 15, 2021
Practice Location
Authorized Official
- Name
- MICHAEL D BRUCE, CEO
- Title
- CEO & AO
- Phone
- (334) 567-4311
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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