Organization
B & A CHILDRENS CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD FELIX YU TIAMCO M.D. (PRESIDENT)
(256) 840-1716
Entity
Organization
Contact information
Practice address
2891 US HIGHWAY 431, BOAZ, AL 35957-5854
(256) 840-1716
(256) 840-1718
Mailing address
2891 US HIGHWAY 431, BOAZ, AL 35957-5854
(256) 840-1716
(256) 840-1718
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529907570
—
AL
Enumeration date
10/12/2006
Last updated
03/23/2017
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