Organization
SIMON MIRELMAN UROLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMON WEISS MIRELMAN MD (OWNER)
(205) 874-8300
Entity
Organization
Contact information
Practice address
513 BROAKWOOD BLVD, SUITE 500, BIRMINGHAM, AL 35209
(205) 877-2767
(205) 877-2914
Mailing address
2204 LAKESHORE DRIVE, SUITE 220, BIRMINGHAM, AL 35209
(205) 874-8300
(205) 874-8333
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000051776
—
AL
05
—
009910394
—
AL
05
—
529932870
—
AL
Enumeration date
07/10/2006
Last updated
04/29/2008
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