University of South Alabama

NPI #1861852980 in Mobile, Alabama

Provider Information

NPI Number
1861852980
Entity Type
Organization
Organization Name
University of South Alabama
Subpart
Yes (part of a larger organization)
Parent Organization
UNIVERSITY OF SOUTH ALABAMA
Primary Specialty
Internal Medicine - Pulmonary Disease
Enumeration Date
Mar 2, 2016
Last Updated
Mar 2, 2016

Practice Location

Address
2451 FILLINGIM ST
Address 2
MSTN BLDG
City
Mobile
State
Alabama
ZIP Code
36617-2238
Phone
(251) 470-5890

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Pulmonary DiseasePulmonary Disease

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