Individual
DR. JOHN ALLEN PYBASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 PETER BRYCE BLVD, TUSCALOOSA, AL 35401-7456
(334) 728-0830
Mailing address
750 PETER BRYCE BLVD, TUSCALOOSA, AL 35401-7456
(334) 728-0830
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
32192
SC
2084P0800X
Psychiatry Physician
MD.37998
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
327877
WACAMAW MHC MEDICAID
SC
01
—
3344
WACAMAW MHC MEDICARE
SC
Enumeration date
04/20/2007
Last updated
03/22/2019
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