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Individual

ANNA LEIGH BREEDLOVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
701 UNIVERSITY BLVD E STE 604, TUSCALOOSA, AL 35401-7411
(205) 759-6925
Mailing address
701 UNIVERSITY BLVD E STE 604, TUSCALOOSA, AL 35401-7411
(205) 759-6925

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
01/31/2022
Last updated
03/01/2023
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