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Organization

ALABAMA CENTER FOR INFECTIOUS DISEASE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD VICTOR SPERA JR. MD (OWNER)
(256) 265-1902
Entity
Organization

Contact information

Practice address
201 SIVLEY RD SW, SUITE 540, HUNTSVILLE, AL 35801-5134
(256) 265-1902
(256) 265-1903
Mailing address
201 SIVLEY RD SW, SUITE 540, HUNTSVILLE, AL 35801-5134
(256) 265-1902
(256) 265-1903

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
21563
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1790777613
INDIVIDUAL NPI
AL
05
529990916
AL
Enumeration date
06/18/2010
Last updated
06/18/2010
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