Organization
ORTHOSPORTS ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SHANE BUGGAY (PRESIDENT)
(205) 939-0447
Entity
Organization
Contact information
Practice address
5336 STADIUM TRACE PKWY, SUITE 114, HOOVER, AL 35244-4580
(205) 838-3090
Mailing address
833 ST. VINCENT'S DRIVE, BIRMINGHAM, AL 35205-1608
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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