Organization
CHILDRENS MEDICAL GROUP P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN LASKER (OWNER)
(205) 515-0538
Entity
Organization
Contact information
Practice address
2316 7TH AVE S, SUITE 100, BIRMINGHAM, AL 35233-3200
(205) 251-4141
(205) 251-2004
Mailing address
2316 7TH AVE S STE 100, BIRMINGHAM, AL 35233-3215
(205) 251-4141
(205) 251-2004
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
01/05/2007
Last updated
09/09/2024
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