Organization
ANI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILO R GOMEZ M.D. (MEDICAL PROVIDER)
(205) 874-8787
Entity
Organization
Contact information
Practice address
509 BROOKWOOD BLVD, BIRMINGHAM, AL 35209-6801
(205) 414-9850
(205) 414-9855
Mailing address
509 BROOKWOOD BLVD, BIRMINGHAM, AL 35209-6801
(205) 414-9850
(205) 414-9855
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529927640
—
AL
Enumeration date
06/25/2007
Last updated
10/26/2007
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