Providence Healthcare Services
Providence Healthcare Services provides Gynecologic Oncology Physician services in Mobile, Alabama. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
6701 Airport Blvd Ste B127Mobile, AL 36608-6705 Not confirmed with CMS for 14 years — call before visiting
Phone: (251) 631-3490
Fax: (251) 631-3461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gynecologic Oncology Physician (primary) | Taxonomy 207VX0201X |
|---|
Record details
| NPI number | 1013113760 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Clark Christianson — President · (251) 631-3574 |
| Other names | Providence Medical Group |
| NPI enumerated | June 21, 2007 |
| Last updated in NPPES | September 17, 2012 |
| Mailing address | Po Box 850489, Mobile, AL 36685-0489 |
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