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Organization

UNIVERSITY OF ALABAMA OPHTHALMOLOGY SERVICES FOUNDATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RETT GROVER (OPERATIONS ADMINISTRATOR)
(205) 325-8116
Entity
Organization

Contact information

Practice address
700 18TH STREET SOUTH, SUITE 601, BIRMINGHAM, AL 35233
(205) 325-8620
Mailing address
PO BOX 830941, MSC #559, BIRMINGHAM, AL 35283-0941
(205) 325-8620
(205) 325-8333

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
529901300
AL
Enumeration date
05/17/2006
Last updated
08/19/2020
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