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Organization

UNIVERSITY OF SOUTH ALABAMA

Active
Parent organization
UNIVERSITY OF SOUTH ALABAMA
Other names
USA Pediatric Hospitalists
Organization subpart
Yes

Provider details

NPI number
Legal business name
UNIVERSITY OF SOUTH ALABAMA
Authorized official
HARVEY IKNER (ASSO ADMIN OF AMBULATORY CLINICS)
(251) 470-1671
Entity
Organization

Contact information

Practice address
1700 CENTER ST, PED CC, MOBILE, AL 36604-3301
(251) 415-1343
(251) 415-1353
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 434-3626
(251) 445-2464

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary

Other

Enumeration date
03/11/2016
Last updated
03/11/2016
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