University of South Alabama

NPI #1962862656 in Mobile, Alabama

Provider Information

NPI Number
1962862656
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 - Infectious Disease
Enumeration Date
Feb 24, 2016
Last Updated
Mar 17, 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 - Infectious DiseaseInfectious Disease

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