Organization
PEDIATRIC RADIOLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY S SIMMA (BUSINESS MANAGER CFO)
(205) 871-4274
Entity
Organization
Contact information
Practice address
1600 7TH AVE S, ACC STE 306, BIRMINGHAM, AL 35233-1711
(205) 939-9336
(205) 939-6872
Mailing address
2000A SOUTHBRIDGE PKWY, STE 300, BIRMINGHAM, AL 35209-7704
(205) 871-4274
(205) 871-4301
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
—
—
Other
Enumeration date
06/02/2006
Last updated
03/07/2008
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