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Organization
WEST ALABAMA PHYSICIAN ASSOCIATES LLC
Active
Organization
WEST ALABAMA PHYSICIAN ASSOCIATES LLC
Active
Other names
West Alabama Cardiac Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL CLAY CONVILLE (DIRECTOR, PHYSICIAN SERVICES)
(205) 759-6165
Entity
Organization
Contact information
Practice address
701 UNIVERSITY BLVD E STE 807, TUSCALOOSA, AL 35401-7479
(205) 759-6873
Mailing address
701 UNIVERSITY BLVD E STE 807, TUSCALOOSA, AL 35401-7479
(205) 759-6873
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
02/27/2018
Last updated
02/17/2023
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