Individual
EDITH D. DELA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 BEACON PKWY W, SUITE 330, BIRMINGHAM, AL 35209-3102
(205) 715-5910
(205) 715-5928
Mailing address
722 STONE AVE, TALLADEGA, AL 35160-2219
(256) 362-1725
(256) 362-2070
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
17232
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000085191
—
AL
01
—
85191
BC/BS
AL
Enumeration date
09/24/2006
Last updated
07/08/2007
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