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General And Vascular Surgery Of Northwest Alabma, Inc.
Vascular Surgery Physician in Russellville, Alabama
NPI 1154639227

General And Vascular Surgery Of Northwest Alabma, Inc. is a Vascular Surgery Physician based in Russellville, AL and is specialized in Vascular Surgery. General And Vascular Surgery Of Northwest Alabma, Inc. practices in Russellville, AL. The NPI Number for General And Vascular Surgery Of Northwest Alabma, Inc. is 1154639227 and holds a License No. 23436 (Alabama).

The current practice location address for General And Vascular Surgery Of Northwest Alabma, Inc. is 15225 Highway 43 Ste D, Russellville, AL and can be reached out via phone at 256-332-1500 and via fax at 256-398-8888.

Location: 15225 Highway 43 Ste D, Russellville, AL, 35653-0616
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154639227
Provider Name
General And Vascular Surgery Of Northwest Alabma, Inc.
Credential
Provider Entity Type
Organization
Address
15225 Highway 43 Ste D, Russellville, AL, 35653-0616
Phone Number
256-332-1500
Fax Number
256-398-8888
Provider Enumeration Date
09/22/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
126776 05 AL
511-17526 01 BCBS
institution
Provider Business Practice Location Address Details
Address
15225 Highway 43 Ste D
City
Russellville
State
Alabama
Zip
35653-1969
Phone Number
256-332-1500
Fax Number
256-398-8888
person
Provider Business Mailing Address Details
Address
15225 Highway 43 Ste D
City
Russellville
State
Alabama
Zip
35653-1969
Phone Number
256-332-1500
Fax Number
256-398-8888
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
23436 (Alabama)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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