Individual
BRUCE PAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
860 MONTCLAIR RD, STE 156, BIRMINGHAM, AL 35213-1923
(205) 599-3990
(205) 599-3901
Mailing address
860 MONTCLAIR RD, STE 156, BIRMINGHAM, AL 35213
(205) 599-3990
(205) 599-3901
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
00007584
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51004885
BLUE CROSS BLUE SHIELS
AL
Enumeration date
09/19/2005
Last updated
04/14/2008
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