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Individual

ASA PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
619 19TH ST S, BIRMINGHAM, AL 35233-1900
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD.48935
AL

Other

Enumeration date
05/18/2014
Last updated
08/28/2024
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