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Keith G Vanderzyl Jr Md Pa
Specialist in Ozark, Alabama
NPI 1689866121

Keith G Vanderzyl Jr Md Pa is a Specialist based in Ozark, AL. Keith G Vanderzyl Jr Md Pa practices in Ozark, AL. The NPI Number for Keith G Vanderzyl Jr Md Pa is 1689866121 and holds a License No. 8612 (Alabama).

The current practice location address for Keith G Vanderzyl Jr Md Pa is 218 Hospital Ave, Ozark, AL and can be reached out via phone at 334-774-5501 and via fax at 334-445-9785.

Location: 218 Hospital Ave, Ozark, AL, 36360-2064
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689866121
Provider Name
Keith G Vanderzyl Jr Md Pa
Credential
Provider Entity Type
Organization
Address
218 Hospital Ave, Ozark, AL, 36360-2064
Phone Number
334-774-5501
Fax Number
334-445-9785
Provider Enumeration Date
08/17/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
000011034 05 AL
000011034 01 BCBS
0196890002 01 AL DMERC
institution
Provider Business Practice Location Address Details
Address
218 Hospital Ave
City
Ozark
State
Alabama
Zip
36360-2064
Phone Number
334-774-5501
Fax Number
334-445-9785
person
Provider Business Mailing Address Details
Address
218 Hospital Ave
City
Ozark
State
Alabama
Zip
36360-2064
Phone Number
334-774-5501
Fax Number
334-445-9785
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
8612 (Alabama)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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