Organization
MENARD, PLASTIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WILLIAM MENARD M.D. (OWNER)
(205) 391-9038
Entity
Organization
Contact information
Practice address
401 TOWNCENTER BLVD, SUITE B, TUSCALOOSA, AL 35406-1822
(205) 391-9038
(205) 391-4688
Mailing address
401 TOWNCENTER BLVD, SUITE B, TUSCALOOSA, AL 35406-1822
(205) 391-9038
(205) 391-4688
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
14811
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101002
—
AL
Enumeration date
05/17/2007
Last updated
11/06/2015
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