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Organization
ANESTHESIA SERVICES PC
Active
Organization
ANESTHESIA SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD H JORDAN MD (PRESIDENT)
(251) 432-4497
Entity
Organization
Contact information
Practice address
5 MOBILE INFIRMARY CIR, MOBILE, AL 36607-3513
(251) 432-4497
(251) 432-0577
Mailing address
PO BOX 11407, DEPT 1499, BIRMINGHAM, AL 35246-1499
(800) 897-6169
(800) 897-6170
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000060068
—
AL
01
—
C068
BC OF ALABAMA
AL
Enumeration date
09/14/2005
Last updated
06/13/2008
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