Organization
VALLEY PULMONARY & CRITICAL CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTHA BOYLE (PRACTICE MANAGER)
(256) 353-4665
Entity
Organization
Contact information
Practice address
1101 SOMERVILLE RD SE, DECATUR, AL 35601-3242
(256) 353-4665
(256) 353-8982
Mailing address
1101 SOMERVILLE RD SE, DECATUR, AL 35601-3242
(256) 353-4665
(256) 353-8982
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
22105
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102G702006
MEDICARE GROUP PTAN
AL
01
—
510-79820
BLUE CROSS& BLUE SHIELD
AL
05
—
529804170
—
AL
Enumeration date
12/01/2006
Last updated
02/03/2020
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