Organization
HUNTSVILLE REPRODUCTIVE MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS HEIDEL (BUSINESS MANAGER)
(256) 213-2229
Entity
Organization
Contact information
Practice address
185 CHATEAU DR SW, SUITE 301, HUNTSVILLE, AL 35801-7416
(256) 213-2229
(256) 213-9978
Mailing address
185 CHATEAU DR SW, SUITE 301, HUNTSVILLE, AL 35801-7416
(256) 213-2229
(256) 213-9978
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
25020
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51514511
BLUE CROSS BLUE SHIELD OF
AL
01
—
7949282
AETNA
AL
Enumeration date
01/10/2007
Last updated
08/22/2020
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