Organization
HUNTSVILLE PLASTIC ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK WILSON MD (OWNER)
(256) 551-2002
Entity
Organization
Contact information
Practice address
2620 CARL T JONES DR SE, HUNTSVILLE, AL 35802-4951
(256) 551-2002
(256) 551-2003
Mailing address
P O BOX 661495, BIRMINGHAM, AL 35266-1495
(205) 979-5882
(205) 979-1248
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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