University of South Alabama

NPI #1962862078 in Mobile, Alabama

Provider Information

NPI Number
1962862078
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 - Gastroenterology
Enumeration Date
Mar 2, 2016
Last Updated
Mar 2, 2016

Practice Location

Address
75 S UNIVERSITY BLVD UCOM 6000 B
City
Mobile
State
Alabama
ZIP Code
36688-0002
Phone
(251) 660-5555

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Internal Medicine - GastroenterologyGastroenterology

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