Individual
PETER STROM SELIKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6610 CURRY HWY, JASPER, AL 35503-5664
(205) 295-2020
(205) 295-2099
Mailing address
6610 CURRY HWY, JASPER, AL 35503-5664
(205) 295-2020
(205) 295-2099
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
5933
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000005597
—
AL
01
—
5933
LICENSE
AL
Enumeration date
08/31/2006
Last updated
01/13/2010
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