Organization
VASCULAR SPECIALISTS OF MOBILE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN ELLIOTT ESSES M.D. (OWNER)
(251) 432-0558
Entity
Organization
Contact information
Practice address
90 INDUSTRIAL PARK CIR, OCEAN SPRINGS, MS 39564-5800
(228) 327-5225
Mailing address
171 MOBILE INFIRMARY BLVD, MOBILE, AL 36607-3509
(251) 432-0558
(251) 432-0554
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20777
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000030017
—
AL
Enumeration date
11/19/2009
Last updated
11/19/2009
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