Organization
PHARES RADIOLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACKI BAILEY (ADMIN)
(205) 699-1632
Entity
Organization
Contact information
Practice address
48 MEDICAL PARK DR E, SUITE 356, BIRMINGHAM, AL 35235-3400
(205) 640-4623
(866) 546-2124
Mailing address
2717 ALTADENA RD, BIRMINGHAM, AL 35243-4506
(205) 699-1632
(766) 546-2124
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
13742
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51532841
PAMELA KULBACK M.D. BCBS
AL
01
—
DE8136
RR MCR
AL
01
—
P00317620
RR MEDICARE PIN
AL
Enumeration date
07/28/2006
Last updated
06/19/2015
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