# GARDENDALE SURGICAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235541418
- **Authorized official:** DEIRDRE ODOM (MANAGER)
- **Authorized official phone:** (334) 396-6930

## Contact information

- **Practice address:** 2213 DECATUR HWY, GARDENDALE, AL 35071-2301
- **Practice address phone:** (205) 418-6021
- **Mailing address:** PO BOX 235022, MONTGOMERY, AL 36123-5022
- **Mailing address phone:** (334) 386-2051
- **Mailing address fax:** (334) 481-1200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/22/2014
- **Last updated:** 05/22/2014