Organization
EAST MONTGOMERY PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AINA ROQUE (OFFICE MANAGER)
(334) 356-1411
Entity
Organization
Contact information
Practice address
337 ST LUKES DRIVE, MONTGOMERY, AL 36117
(334) 356-1411
(334) 356-1578
Mailing address
337 ST LUKES DRIVE, MONTGOMERY, AL 36117
(334) 356-1411
(334) 356-1578
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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