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Organization

CREEKSIDE FAMILY PRACTICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CLAUDE L KINZER M.D. (PRESIDENT)
(256) 551-6503
Entity
Organization

Contact information

Practice address
810 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4310
(256) 551-6503
(256) 533-8935
Mailing address
810 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4310
(256) 551-6503
(256) 533-8935

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
05/30/2007
Last updated
07/12/2007
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