Organization
IRENA BUKELIS, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRENA BUKELIS MD (PSYCHIATRIST)
(205) 352-2000
Entity
Organization
Contact information
Practice address
400 VESTAVIA PKWY STE 102, VESTAVIA, AL 35216-3784
(205) 352-2000
Mailing address
400 VESTAVIA PKWY STE 102, VESTAVIA, AL 35216-3784
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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