Organization
EICH PLASTIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE SHELBY EICH II MD (PRESIDENT)
(205) 856-6155
Entity
Organization
Contact information
Practice address
200 PILOT MEDICAL DRIVE, SUITE 100, BIRMINGHAM, AL 35235-3462
(205) 856-6155
(205) 856-9391
Mailing address
200 PILOT MEDICAL DRIVE, SUITE 100, BIRMINGHAM, AL 35235-3462
(205) 856-6155
(205) 856-9391
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
17710
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009975650
—
AL
01
—
1310081
UNITED HEALTH CARE
—
01
—
43438
THE OATH
—
01
—
51505077
BC
—
01
—
F78813
VIVA
—
Enumeration date
10/24/2005
Last updated
01/19/2010
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