Deshazo Medical

NPI #1386290781 in Vestavia, Alabama

Provider Information

NPI Number: 1386290781
Entity Type: Organization
Organization Name: Deshazo Medical
Primary Specialty: Pediatrics
Enumeration Date: Aug 13, 2019
Last Updated: Aug 13, 2019

Practice Location

Address: 4387 BOULDER LAKE CIR
City: Vestavia
State: Alabama
ZIP Code: 35242-2116
Phone: (205) 492-0126

Authorized Official

Name: DR. MEGAN DESHAZO, MD
Title: CHIEF MEDICAL OFFICER
Phone: (205) 900-4321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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