Providence Healthcare Services

NPI #1508878083 in Mobile, Alabama

Provider Information

NPI Number: 1508878083
Entity Type: Organization
Organization Name: Providence Healthcare Services
Primary Specialty: Internal Medicine
Enumeration Date: Aug 12, 2006
Last Updated: Oct 8, 2012

Practice Location

Address: 6701 AIRPORT BLVD
Address 2: SUITE D430
City: Mobile
State: Alabama
ZIP Code: 36608-6705
Phone: (251) 342-3949

Authorized Official

Name: MR. CLARK P. CHRISTIANSON
Title: PRESIDENT
Phone: (251) 633-1660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine - Rheumatology — Rheumatology	207RR0500X
Internal Medicine - Endocrinology, Diabetes & Metabolism — Endocrinology, Diabetes & Metabolism	207RE0101X
Internal Medicine - Gastroenterology — Gastroenterology	207RG0100X
Obstetrics & Gynecology - Gynecologic Oncology — Gynecologic Oncology	207VX0201X
Internal Medicine	207R00000X	Primary

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