Organization
MARLA J. GLEASON, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARLA J GLEASON MD (OWENER)
(251) 937-7016
Entity
Organization
Contact information
Practice address
2001 MEDICAL CENTER DR, BAY MINETTE, AL 36507-4163
(251) 937-7016
(251) 937-7612
Mailing address
2001 MEDICAL CENTER DR, BAY MINETTE, AL 36507-4163
(251) 937-7016
(251) 937-7612
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
11955
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000014571
—
AL
Enumeration date
07/25/2006
Last updated
09/14/2010
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