Organization
DALRAIDA CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE ROMANO (OFFICE MANAGER)
(334) 207-4466
Entity
Organization
Contact information
Practice address
4135 ATLANTA HWY, MONTGOMERY, AL 36109-3022
(334) 647-1444
(334) 647-1404
Mailing address
4135 ATLANTA HWY, MONTGOMERY, AL 36109-3022
(334) 647-1444
(334) 647-1404
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2018
AL
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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