Keith G Vanderzyl Jr MD PA

NPI #1689866121 in Ozark, Alabama

Provider Information

NPI Number
1689866121
Entity Type
Organization
Organization Name
Keith G Vanderzyl Jr MD PA
Primary Specialty
Specialist
Enumeration Date
Aug 17, 2007
Last Updated
Jun 5, 2008

Practice Location

Address
218 HOSPITAL AVE
Address 2
STE D
City
Ozark
State
Alabama
ZIP Code
36360-2064
Phone
(334) 774-5501

Authorized Official

Name
DR. KEITH GRANT VANDERZYL JR., MD
Title
PRESIDENT
Phone
(334) 774-5501

Specialties & Taxonomy Codes

Specialty
Specialist

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