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Organization

DESTIN ORTHOPEDICS,PL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HERBERT VICTOR ALLEN III M.D. (PRESIDENT)
(251) 665-5127
Entity
Organization

Contact information

Practice address
5613 COTTAGE HILL RD, MOBILE, AL 36609-4210
(251) 665-5127
(251) 665-5159
Mailing address
36008 EMERALD COAST PKWY, SUITE 102A, DESTIN, FL 32541-4792
(251) 665-5127
(251) 665-5159

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD9362
AL

Other

Enumeration date
01/19/2011
Last updated
06/18/2012
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