Organization
PRECISION VEIN THERAPEUTICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ROSS BARLOW MD (OWNER)
(205) 243-6264
Entity
Organization
Contact information
Practice address
4112 WATERMELON RD, NORTHPORT, AL 35473
(205) 710-3800
Mailing address
3504 COLD HARBOR LN, MOUNTAIN BRK, AL 35223-1636
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
—
—
207L00000X
Anesthesiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
01/04/2018
Last updated
02/22/2018
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