Organization
MEDICAL CENTER OTOLARYNGOLOGY CLINIC,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD A. WALKER M.D. (PRESIDENT)
(205) 458-0008
Entity
Organization
Contact information
Practice address
1527 5TH AVE N, SUITE 260, BIRMINGHAM, AL 35203-1854
(205) 458-0008
(205) 458-0011
Mailing address
1527 5TH AVE N, SUITE 260, BIRMINGHAM, AL 35203-1854
Taxonomy
Speciality
Code
Description
License number
State
207YX0602X
Otolaryngic Allergy Physician
Primary
08026
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000010614
—
AL
Enumeration date
05/20/2009
Last updated
05/20/2009
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