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Individual

DESIREE A. SOTER-PEARSALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
101 MEMORIAL HOSPITAL DR, SUITE 200, MOBILE, AL 36608-1786
(251) 414-5900
(251) 281-1198
Mailing address
101 MEMORIAL HOSPITAL DR, SUITE 200, MOBILE, AL 36608-1786
(251) 414-5900
(251) 281-1169

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21374
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000029369
AL
05
009927875
AL
01
04-10834
UNITED HEALTHCARE
AL
01
110233518
RAILROAD MEDICARE PTAN
AL
01
51109805
BCBS
AL
Enumeration date
05/24/2006
Last updated
05/18/2022
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