Organization
UNIVERSITY OF SOUTH ALABAMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENNY JOSEPH STOVER (CFO)
(251) 445-9164
Entity
Organization
Contact information
Practice address
181 HILLCREST RD STE B, MOBILE, AL 36608-5306
(251) 341-4656
Mailing address
307 UNIVERSITY BLVD ADMIN BLDG 170, MOBILE, AL 36688-0001
(251) 445-9131
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
02/25/2022
Last updated
03/17/2022
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