Organization
PEDIATRIC ANESTHESIA ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN FRANCISCO GUTIERREZ MD (PRESIDENT)
(205) 939-9235
Entity
Organization
Contact information
Practice address
1600 7TH AVE S, SUITE 420 ACC, BIRMINGHAM, AL 35233-1711
(205) 939-9235
(205) 939-9936
Mailing address
1600 7TH AVE S, SUITE 420 ACC, BIRMINGHAM, AL 35233-1711
(205) 939-9235
(205) 939-9936
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015560
—
MS
05
—
528201260
—
AL
Enumeration date
12/14/2005
Last updated
06/23/2010
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