Organization · Type 2 NPI
General and Vascular Surgery of Northwest Alabma, Inc.
Vascular Surgery Physician · Russellville, AL
NPI number
1154639227
Active
Practice location
15225 Highway 43 Ste D
Russellville, AL 35653-1969
Fax (256) 398-8888
Mailing address
PO Box 660
Russellville, AL 35653-0616
Other practice locations
- 203 Avalon Ave Ste 120, Muscle Shoals, AL 35661-2857 · (256) 332-1500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | 23436 (AL) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Another provider at this address
About NPI 1154639227
General and Vascular Surgery of Northwest Alabma, Inc.'s National Provider Identifier is 1154639227, issued on Sep 22, 2010. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Russellville, AL. The record was last updated on Mar 29, 2022.