MR. Oliver Laurence Ezell, P.A.-C

NPI #1831191113 in Mobile, Alabama

Provider Information

NPI Number
1831191113
Entity Type
Individual
Name
MR. Oliver Laurence Ezell, P.A.-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
P.A.-C
Enumeration Date
Jun 1, 2005
Last Updated
Oct 30, 2007

Practice Location

Address
1504 SPRINGHILL AVE
Address 2
STE 1365
City
Mobile
State
Alabama
ZIP Code
36604-3207
Phone
(251) 405-9914

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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