Individual
DR. JOHN ALBERT INDOVINA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15225 HIGHWAY 43 STE B-1, RUSSELLVILLE, AL 35653-1999
(256) 332-8658
Mailing address
15225 HIGHWAY 43 STE B-1, RUSSELLVILLE, AL 35653-1999
(256) 332-8658
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD021449
LA
208600000X
Surgery Physician
Primary
MD28281
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009913354
—
AL
05
—
1987662
—
LA
Enumeration date
10/12/2006
Last updated
07/21/2022
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