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Organization

ANESTHESIA SERVICES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RONALD H JORDAN MD (PRESIDENT)
(251) 432-4497
Entity
Organization

Contact information

Practice address
5 MOBILE INFIRMARY CIR, MOBILE, AL 36607-3513
(251) 432-4497
(251) 432-0577
Mailing address
PO BOX 11407, DEPT 1499, BIRMINGHAM, AL 35246-1499
(800) 897-6169
(800) 897-6170

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000060068
AL
01
C068
BC OF ALABAMA
AL
Enumeration date
09/14/2005
Last updated
06/13/2008
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