Organization
PROVIDENCE HEALTHCARE SERVICES INC
Active
Other names
Employee Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARK P. CHRISTIANSON (PRESIDENT)
(251) 633-1660
Entity
Organization
Contact information
Practice address
6701 AIRPORT BLVD, SUITE C132, MOBILE, AL 36608-6705
(251) 631-3501
(251) 631-3504
Mailing address
PO BOX 850489, MOBILE, AL 36685-0489
(251) 342-3949
(251) 631-3361
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-071676
AL
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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