Organization
ST JUDE THADDEUS INTERNAL MEDICINE
Active
Organization
ST JUDE THADDEUS INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODOLFO M VELUZ MD (MEDICAL DIRECTOR)
(205) 956-8767
Entity
Organization
Contact information
Practice address
5431 BEACON DR, IRONDALE, AL 35210-2862
(205) 956-8767
(205) 956-8704
Mailing address
5431 BEACON DR, IRONDALE, AL 35210-2862
(205) 956-8767
(205) 956-8704
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
MD 9246
AL
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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