Organization
ETOWAH EAR NOSE & THROAT, LLC
Active
Other names
North Alabama Medical Assoc. LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT E. OSTERDORF III MD (PHYSICIAN)
(256) 438-5821
Entity
Organization
Contact information
Practice address
1026 GOODYEAR AVE - STE. 100B, GADSDEN, AL 35903-1194
(256) 438-5821
(256) 467-4262
Mailing address
PO BOX 8365, GADSDEN, AL 35902-8365
(256) 543-2867
(256) 459-4791
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD27282
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009912008
—
AL
Enumeration date
02/03/2014
Last updated
02/03/2014
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