Organization
DCH PROVIDER SERVICES, LLC
Active
Other names
DCH Professional Ancillary Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL CLAY CONVILLE (CORP DIRECTOR, PHYSICIAN SERVICES)
(205) 759-6165
Entity
Organization
Contact information
Practice address
809 UNIVERSITY BLVD E, TUSCALOOSA, AL 35401-2029
(205) 759-6165
Mailing address
3901 GREENSBORO AVE STE A, TUSCALOOSA, AL 35405-3771
(205) 759-6165
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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