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Individual

WILLIAM W RECKNOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
52 MEDICAL PARK DR E, STE 115, BIRMINGHAM, AL 35235-3430
(205) 838-3900
(205) 838-3906
Mailing address
52 MEDICAL PARK DR E, STE 115, BIRMINGHAM, AL 35235-3430
(205) 838-3900
(205) 838-3906

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1-128513
AL
363LA2200X
Adult Health Nurse Practitioner
Primary
1-128513
AL
363LG0600X
Gerontology Nurse Practitioner
1-128513
AL

Other

Enumeration date
04/22/2015
Last updated
04/24/2015
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