Organization
ENT IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEV H BRAGG M.D. (PRESIDENT)
(205) 933-2952
Entity
Organization
Contact information
Practice address
2700 10TH AVE S, SUITE 502, BIRMINGHAM, AL 35205-1200
(205) 933-2952
(205) 933-5893
Mailing address
2700 10TH AVE S, SUITE 502, BIRMINGHAM, AL 35205-1200
(205) 933-2952
(205) 933-5893
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
10997
AL
207YX0901X
Otology & Neurotology Physician
16561
AL
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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