Organization · Type 2 NPI

Providence Healthcare Services

Gynecologic Oncology Physician · Mobile, AL

NPI number 1013113760 Active

Practice location

6701 Airport Blvd, Suite B127
Mobile, AL 36608-6705

Call (251) 631-3490 Map

Fax (251) 631-3461

Mailing address

PO Box 850489
Mobile, AL 36685-0489

Specialties and licenses

Taxonomy	Code	License
Gynecologic Oncology Physician Primary	207VX0201X	None listed

Gynecologic Oncology Physician: An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

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About NPI 1013113760

Providence Healthcare Services's National Provider Identifier is 1013113760, issued on Jun 21, 2007. The primary taxonomy on file is Gynecologic Oncology Physician (207VX0201X), and the practice location is in Mobile, AL. The record was last updated on Sep 17, 2012.