Organization
EAST ALABAMA UROLOGY ASSOCIATES, P.A.
Active
Other names
East Alabama Urology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE KELLER (ADMINISTRATOR)
(334) 749-8146
Entity
Organization
Contact information
Practice address
121 N 20TH ST STE 19, OPELIKA, AL 36801-5456
(334) 749-8146
(334) 737-6432
Mailing address
121 N 20TH ST STE 19, OPELIKA, AL 36801-5456
(334) 749-8146
(334) 737-6432
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529700320
—
AL
Enumeration date
09/02/2006
Last updated
02/14/2013
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