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Organization

VASCULAR INSTITUTE OF BIRMINGHAM, PC

Active
Parent organization
VASCULAR INSTITUTE OF BIRMINGHAM, PC
Other names
Anesthesia Services @ Vascular Institute
Organization subpart
Yes

Provider details

NPI number
Legal business name
VASCULAR INSTITUTE OF BIRMINGHAM, PC
Authorized official
WILLIAM D WHITLEY MD (PRESIDENT)
(205) 939-3495
Entity
Organization

Contact information

Practice address
2660 10TH AVE S, POB #1, SUITE 608, BIRMINGHAM, AL 35205-1605
(205) 939-3495
(205) 918-0147
Mailing address
PO 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

Other identifiers
Code
Description
Identifier
Issuer
State
05
118563
AL
01
1588988851
TRICARE
AL
Enumeration date
03/16/2010
Last updated
06/02/2010
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