Organization
DESHAZO MEDICAL
Active
Other names
4 Kids Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEGAN DESHAZO MD (CHIEF MEDICAL OFFICER)
(205) 900-4321
Entity
Organization
Contact information
Practice address
4387 BOULDER LAKE CIR, VESTAVIA, AL 35242-2116
(205) 492-0126
Mailing address
4387 BOULDER LAKE CIR, VESTAVIA, AL 35242-2116
(205) 492-0126
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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