University of South Alabama

NPI #1689034803 in Mobile, Alabama

Provider Information

NPI Number: 1689034803
Entity Type: Organization
Organization Name: University of South Alabama
Subpart: Yes (part of a larger organization)
Parent Organization: UNIVERSITY OF SOUTH ALABAMA
Primary Specialty: Surgery
Enumeration Date: Mar 1, 2016
Last Updated: Mar 1, 2016

Practice Location

Address: 2451 FILLINGIM ST
Address 2: MASTIN STE 101
City: Mobile
State: Alabama
ZIP Code: 36617-2238
Phone: (251) 445-8282

Authorized Official

Name: HARVEY IKNER
Title: ASSO ADMIN OF AMBULATORY CLINICS
Phone: (251) 470-1671

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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