Individual
MR. JOSEPH LEE STORK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
809 UNIVERSITY BLVD E, TUSCALOOSA, AL 35401-2029
(205) 759-7111
Mailing address
809 UNIVERSITY BLVD E, TUSCALOOSA, AL 35401-2029
(205) 759-7111
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-119062
AL
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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