Individual
BRIAN JAMES VAVREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 LAKESHORE DR, BIRMINGHAM, AL 35229-0001
(205) 726-2011
Mailing address
18244 LOUISVILLE RD, SMITHS GROVE, KY 42171-8708
(270) 250-5103
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S10686
AL
Other
Enumeration date
05/05/2013
Last updated
05/06/2013
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