Organization
MOBILE UROLOGY GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT FLECK (PRACTICE ADMINISTRATOR)
(251) 343-9090
Entity
Organization
Contact information
Practice address
101 MEMORIAL HOSPITAL DR, SUITE 100, MOBILE, AL 36608-1786
(251) 343-9090
(251) 380-1015
Mailing address
101 MEMORIAL HOSPITAL DR, SUITE 100, MOBILE, AL 36608-1786
(251) 343-9090
(251) 380-1015
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0635230001
DMERC JURISDICTION C
AL
Enumeration date
12/13/2005
Last updated
01/28/2008
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