Individual
PAVEL WILFREDO BARAHONA RUBIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 LOWELL DR SE STE 404, HUNTSVILLE, AL 35801-3754
(256) 265-9870
(256) 265-9875
Mailing address
PO BOX 21007, HUNTSVILLE, AL 35813-5007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
48115
AL
Other
Enumeration date
03/30/2021
Last updated
10/14/2024
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