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Organization

IMC-DIAGNOSTIC AND MEDICAL CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANTHONY PALAZZO (VICE PRESIDENT OF FINANCE)
(251) 435-1361
Entity
Organization

Contact information

Practice address
1700 SPRINGHILL AVE, SUITE 100, MOBILE, AL 36604-1407
(251) 435-1200
(251) 435-6357
Mailing address
1700 SPRINGHILL AVE, SUITE 100, MOBILE, AL 36604-1407
(251) 435-1200
(251) 435-6357

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
207N00000X
Dermatology Physician
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary
207RC0000X
Cardiovascular Disease Physician
207RC0001X
Clinical Cardiac Electrophysiology Physician
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
207RG0100X
Gastroenterology Physician
207RI0011X
Interventional Cardiology Physician
207RI0200X
Infectious Disease Physician
207RP1001X
Pulmonary Disease Physician
2084N0400X
Neurology Physician
AL
2084N0400X
Neurology Physician

Other

Enumeration date
05/16/2006
Last updated
12/04/2019
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