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Organization

BAY UROLOGY SERVICES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. RITA WEBB (INS)
(251) 633-3617
Entity
Organization

Contact information

Practice address
6701 AIRPORT BLVD, SUITE B111, MOBILE, AL 36608-6705
(251) 633-3617
Mailing address
6701 AIRPORT BLVD, SUITE B111, MOBILE, AL 36608-6705
(251) 633-3617

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
00022814
AL
174400000X
Specialist
13909
AL
174400000X
Specialist
Primary
7939
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51595623
BCBS AL
AL
01
51595624
BCBS AL
AL
01
51595626
BCBS AL
AL
Enumeration date
02/20/2009
Last updated
02/20/2009
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