Organization
HEMATOLOGY AND ONCOLOGY ASSOCIATES OF ALABAMA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELQUIS M. CASTILLO MD (PRESIDENT)
(205) 502-4712
Entity
Organization
Contact information
Practice address
901 LEIGHTON AVE, SUITE 402, ANNISTON, AL 36207-5700
(256) 237-2526
(256) 237-4968
Mailing address
PO BOX 10327, BIRMINGHAM, AL 35202-0327
(205) 502-4712
(205) 502-4710
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK5459
RAILROAD MEDICARE
AL
Enumeration date
08/22/2007
Last updated
01/31/2008
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