Individual
MR. MICHAEL JEFFERY DELLAPENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
100 RICE MINE ROAD LOOP, SUITE 205, TUSCALOOSA, AL 35406-2419
(205) 752-1800
(205) 752-1891
Mailing address
100 RICE MINE ROAD LOOP, SUITE 205, TUSCALOOSA, AL 35406-2419
(205) 752-1800
(205) 752-1891
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA009
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529932889
—
AL
Enumeration date
04/19/2006
Last updated
02/12/2009
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