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Organization
GARDENDALE SURGICAL ASSOCIATES
Active
Organization
GARDENDALE SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEIRDRE ODOM (MANAGER)
(334) 396-6930
Entity
Organization
Contact information
Practice address
2213 DECATUR HWY, GARDENDALE, AL 35071-2301
(205) 418-6021
Mailing address
PO BOX 235022, MONTGOMERY, AL 36123-5022
(334) 386-2051
(334) 481-1200
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/22/2014
Last updated
05/22/2014
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