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Organization

MEDICAL ASSOCIATES OF EAST AL, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. IVAN LEWIS SLAVICH III D.O. (PRESIDENT)
(334) 756-6936
Entity
Organization

Contact information

Practice address
209 FOB JAMES DR, VALLEY, AL 36854-5079
(334) 756-6936
(334) 756-6937
Mailing address
209 FOB JAMES DR, VALLEY, AL 36854-5079
(334) 756-6936
(334) 756-6937

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
DO222
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000033687
AL
05
000034036
AL
Enumeration date
08/20/2006
Last updated
12/05/2018
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