Organization
MAGNOLIA SPRINGS PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA R MCKENZIE (OFFICE MANAGER)
(251) 965-5088
Entity
Organization
Contact information
Practice address
14975 HWY 98, MAGNOLIA SPRINGS, AL 36555-0307
(251) 965-3320
(251) 965-3315
Mailing address
PO BOX 307, MAGNOLIA SPRINGS, AL 36555-0307
(251) 965-3320
(251) 965-3315
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD27137
AL
208000000X
Pediatrics Physician
Primary
MD7965
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000008277
—
AL
01
—
009942429
ROBERT L RUX
AL
Enumeration date
12/21/2007
Last updated
12/21/2007
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