Organization
DECATUR ANESTHESIOLOGY
Active
Other names
Jefferson Clinic,P C
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A. MURPHY M.D. (PRESIDENT)
(205) 930-3612
Entity
Organization
Contact information
Practice address
1515 6TH AVE S, BIRMINGHAM, AL 35233-1601
(205) 930-3612
(205) 930-3322
Mailing address
991 LAKE CREST PKWY, HOOVER, AL 35226-5008
(205) 283-6665
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
21022
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00038287
—
AL
01
—
PIN 00104060
GROUP CK 7878
AL
Enumeration date
02/28/2007
Last updated
08/22/2020
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