Organization
PEDIATRIC INTENSIVIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER MASON (DIRECTOR OF PHYSICIANS NETWORK)
(256) 265-7791
Entity
Organization
Contact information
Practice address
401 LOWELL DR SE, SUITE 14, HUNTSVILLE, AL 35801-3748
(256) 265-7791
(256) 265-7767
Mailing address
401 LOWELL DR SE, SUITE 14, HUNTSVILLE, AL 35801-3748
(256) 265-7791
(256) 265-7767
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
—
—
Other
Enumeration date
02/05/2007
Last updated
08/22/2020
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