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Organization

WEST ALABAMA PHYSICIAN ASSOCIATES LLC

Active
Other names
West Alabama Cardiac Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL CLAY CONVILLE (DIRECTOR, PHYSICIAN SERVICES)
(205) 759-6165
Entity
Organization

Contact information

Practice address
701 UNIVERSITY BLVD E STE 807, TUSCALOOSA, AL 35401-7479
(205) 759-6873
Mailing address
701 UNIVERSITY BLVD E STE 807, TUSCALOOSA, AL 35401-7479
(205) 759-6873

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary

Other

Enumeration date
02/27/2018
Last updated
02/17/2023
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