St. Vincent's Mso, LLC

NPI #1851694376 in Birmingham, Alabama

Provider Information

NPI Number: 1851694376
Entity Type: Organization
Organization Name: St. Vincent's Mso, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: UNIVERSAL HEALTH SERVICES
Primary Specialty: Pediatrics
Enumeration Date: Dec 7, 2010
Last Updated: Dec 7, 2010

Practice Location

Address: 810 SAINT VINCENTS DR
Address 2: ATTN: PHYSICIAN DEVELOPMENT / MSO
City: Birmingham
State: Alabama
ZIP Code: 35205-1601
Phone: (205) 930-2592

Authorized Official

Name: MRS. JONI WYATT
Title: SYSTEM DIRECTOR, PHYSICIAN DEVELOP.
Phone: (205) 930-2592

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X
Obstetrics & Gynecology	207V00000X
Hospitalist	208M00000X
Pediatrics	208000000X	Primary

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