Individual
DR. DARREL ALEXANDER CEBALLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1900 FAIRVIEW AVE, DOTHAN, AL 36301-3099
(334) 793-9511
(334) 794-6412
Mailing address
1900 FAIRVIEW AVE, DOTHAN, AL 36301-3099
(334) 793-9511
(334) 794-6412
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
DO.1634
AL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
DO.1634
AL
Other
Enumeration date
04/15/2015
Last updated
07/23/2021
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