Organization
MARSHALL MEDICAL CENTER SOUTH
Active
Organization
MARSHALL MEDICAL CENTER SOUTH
Active
Other names
Masdon ENT Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY R GORE (CEO)
(256) 593-8310
Entity
Organization
Contact information
Practice address
704 MEDICAL CENTER PARKWAY, BOAZ, AL 35957
(256) 593-7266
(256) 840-9833
Mailing address
704 MEDICAL CENTER PARKWAY, BOAZ, AL 35957
(256) 593-7266
(256) 840-9833
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
10383
AL
Other
Enumeration date
09/29/2006
Last updated
08/22/2020
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