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Luis O Vasconez, MD
Plastic and Reconstructive Surgery Physician in Birmingham, Alabama
NPI 1235151424

Luis O Vasconez is a Plastic and Reconstructive Surgery Physician based in Birmingham, AL and is specialized in Plastic and Reconstructive Surgery. Luis O Vasconez practices in Birmingham, AL and has the professional credentials of MD. The NPI Number for Luis O Vasconez is 1235151424 and holds a License No. 12399 (Alabama).

The current practice location address for Luis O Vasconez is 619 19Th Street South, Birmingham, AL and can be reached out via phone at 205-934-4011. You can also correspond with Luis O Vasconez through the mailing address at PO BOX 55310, BIRMINGHAM, AL - 35255-5310 (mailing address contact number: 205-731-9701).

Location: 619 19Th Street South, Birmingham, AL, 35255-5310
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Provider Profile Details
NPI Number
1235151424
Provider Name
Luis O Vasconez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
619 19Th Street South, Birmingham, AL, 35255-5310
Phone Number
205-934-4011
Fax Number
Provider Enumeration Date
07/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000014647 05 AL
000014647 01 AL BLUE CROSS
009932092 05 AL
051529687 01 AL BLUE CROSS
A47233 01 AL VIVA
institution
Provider Business Practice Location Address Details
Address
619 19Th Street South
City
State
Zip
35233
Phone Number
205-934-4011
Fax Number
person
Provider Business Mailing Address Details
Address
619 19Th Street South
City
State
Zip
35233
Phone Number
205-934-4011
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
12399 (Alabama)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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