Organization
IMC-CARDIO-THORACIC AND VASCULAR SURGICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY PALAZZO (VICE PRESIDENT OF FINANCE)
(251) 435-1361
Entity
Organization
Contact information
Practice address
1855 SPRING HILL AVE, MOBILE, AL 36607-2301
(251) 471-3544
Mailing address
1855 SPRING HILL AVE, MOBILE, AL 36607-2301
(251) 471-3544
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
09/03/2019
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