Organization
VALLEY VEIN AND COSMETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY ALAN LOWERY M.D. (OWNER)
(256) 881-0020
Entity
Organization
Contact information
Practice address
1 HOSPITAL DR SW, HUNTSVILLE, AL 35801-6455
(256) 881-0020
Mailing address
1 MUIRFIELD LN SE, HUNTSVILLE, AL 35802-1289
(256) 881-0020
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
16783
AL
Other
Enumeration date
07/26/2012
Last updated
07/26/2012
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