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The Park Clinic For Cosmetic And Reconstructive Surgery, P.c.
Medical Specialty Clinic/Center in Mobile, Alabama
NPI 1821246869

The Park Clinic For Cosmetic And Reconstructive Surgery, P.c. is a Medical Specialty Clinic/Center based in Mobile, AL and is specialized in Medical Specialty. The Park Clinic For Cosmetic And Reconstructive Surgery, P.c. practices in Mobile, AL. The NPI Number for The Park Clinic For Cosmetic And Reconstructive Surgery, P.c. is 1821246869 and holds a License No. MD.28938 (Alabama).

The current practice location address for The Park Clinic For Cosmetic And Reconstructive Surgery, P.c. is 3153 Dauphin St, Mobile, AL and can be reached out via phone at 251-340-6600.

Location: 3153 Dauphin St, Mobile, AL, 36685-2047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821246869
Provider Name
The Park Clinic For Cosmetic And Reconstructive Surgery, P.c.
Credential
Provider Entity Type
Organization
Address
3153 Dauphin St, Mobile, AL, 36685-2047
Phone Number
251-340-6600
Fax Number
Provider Enumeration Date
09/03/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
510G700432 01 AL MEDICARE PTAN
510G700432 01 AL RAILROAD MEDICARE PTAN
51595045 01 AL BLUE CROSS BLUE SHIELD AL
institution
Provider Business Practice Location Address Details
Address
3153 Dauphin St
City
Mobile
State
Alabama
Zip
36606-4061
Phone Number
251-340-6600
Fax Number
person
Provider Business Mailing Address Details
Address
3153 Dauphin St
City
Mobile
State
Alabama
Zip
36606-4061
Phone Number
251-340-6600
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
MD.28938 (Alabama)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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