person
Mr. Oliver Laurence Ezell, PA-C
Medical Physician Assistant in Mobile, Alabama
NPI 1831191113

Oliver Laurence Ezell is a Medical Physician Assistant based in Mobile, AL and is specialized in Medical. Oliver Laurence Ezell practices in Mobile, AL and has the professional credentials of PA-C. The NPI Number for Oliver Laurence Ezell is 1831191113 and holds a License No. PA-234 (Alabama).

The current practice location address for Oliver Laurence Ezell is 1504 Springhill Ave, Mobile, AL and can be reached out via phone at 251-405-9914 and via fax at 251-405-5317.

Location: 1504 Springhill Ave, Mobile, AL, 36604-3207
person
Provider Profile Details
NPI Number
1831191113
Provider Name
Oliver Laurence Ezell
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1504 Springhill Ave, Mobile, AL, 36604-3207
Phone Number
251-405-9914
Fax Number
251-405-5317
Provider Enumeration Date
06/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7722482 01 AL AETNA
P20387 01 AL HEALTHSPRING/SENIORS 1ST
630477348034 01 AL TRICARE
institution
Provider Business Practice Location Address Details
Address
1504 Springhill Ave
City
State
Zip
36604-3207
Phone Number
251-405-9914
Fax Number
251-405-5317
person
Provider Business Mailing Address Details
Address
1504 Springhill Ave
City
State
Zip
36604-3207
Phone Number
251-405-9914
Fax Number
251-405-5317
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA-234 (Alabama)
Definition
Definition to come...
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