Organization
DARRELL S. PRESTRIDGE, DO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRELL S PRESTRIDGE (OWNER)
(205) 621-3437
Entity
Organization
Contact information
Practice address
2122 OLD MONTGOMERY HWY, PELHAM, AL 35124-1138
(205) 621-3437
(205) 621-8550
Mailing address
PO BOX 531326, BIRMINGHAM, AL 35253-1326
(205) 621-3437
(205) 621-8550
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529927780
—
AL
01
—
DE6484
RAILROAD MEDICARE GROUP #
AL
Enumeration date
05/16/2006
Last updated
12/01/2015
Update your record
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