Organization
WEST ALABAMA PHYSICIAN ASSOCIATES, LLC
Active
Other names
West Alabama Urology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL CLAY CONVILLE (CORP DIRECTOR, PHYSICIAN SERVICES)
(205) 759-6165
Entity
Organization
Contact information
Practice address
701 UNIVERSITY BLVD E, SUITE 908, TUSCALOOSA, AL 35401-7423
(205) 344-9393
(205) 758-6750
Mailing address
701 UNIVERSITY BLVD E, SUITE 908, TUSCALOOSA, AL 35401-7423
(205) 344-9393
(205) 758-6750
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103891
—
AL
01
—
D03406
MEDICARE RAILROAD
AL
Enumeration date
07/15/2008
Last updated
11/03/2022
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