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Organization

ICE HEALTHCARE SERVICE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY ILIFF (MD)
(251) 460-0326
Entity
Organization

Contact information

Practice address
1758 SPRING HILL AVE, MOBILE, AL 36607-3508
(251) 460-0326
Mailing address
PO BOX 9158, MOBILE, AL 36691-0158
(251) 460-0326

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CJ5621
RR MEDICARE
AL
Enumeration date
08/31/2006
Last updated
06/21/2018
About Stedi
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