Organization
JEFFERSON M TRUPP MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARGARET S PORTER CPC (OFFICE MANAGER)
(256) 236-5358
Entity
Organization
Contact information
Practice address
1320 LEIGHTON AVE STE A, ANNISTON, AL 36207-4614
(256) 236-5358
(256) 236-3657
Mailing address
1320 LEIGHTON AVE STE A, ANNISTON, AL 36207-4614
(256) 236-5358
(256) 236-3657
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
11479
AL
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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