# VISTA MEDICAL OF ALABAMA, INC

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

## Provider details

- **NPI number:** 1528887551
- **Authorized official:** JOEL W KNAIN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (251) 241-0905

## Contact information

- **Practice address:** 1359 SPRING HILL AVE, MOBILE, AL 36604-3210
- **Practice address phone:** (251) 241-0905
- **Practice address fax:** (251) 800-7150
- **Mailing address:** 1359 SPRING HILL AVE, MOBILE, AL 36604-3210
- **Mailing address phone:** (251) 241-0905
- **Mailing address fax:** (251) 800-7150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/07/2024
- **Last updated:** 10/07/2024