Organization
UNIVERSITY OF SOUTH ALABAMA
Active
Parent organization
UNIVERSITY OF SOUTH ALABAMA
Other names
University of South Alabama Anesthesia
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF SOUTH ALABAMA
Authorized official
OWEN BAILEY (CHIEF OPERATING OFFICER)
(251) 471-7110
Entity
Organization
Contact information
Practice address
2451 FILLINGIM ST, MOBILE, AL 36617-2238
(251) 471-7000
Mailing address
PO BOX 40010, MOBILE, AL 36640-0010
(251) 434-3505
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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