Organization
CORE ENT. LLC
Active
Other names
North Alabama Medical Assoc. LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KURT W. KANTZLER D.O. (PHYSICIAN)
(256) 543-2867
Entity
Organization
Contact information
Practice address
215 SOUTH 5TH STREET, GADSDEN, AL 35901-4217
(256) 543-2867
(256) 459-4791
Mailing address
PO BOX 8365, GADSDEN, AL 35902-8365
(256) 543-2867
(256) 459-4791
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
D0637
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123503
—
AL
Enumeration date
10/23/2012
Last updated
10/23/2012
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