Organization · Type 2 NPI

Providence Healthcare Services

Gynecologic Oncology Physician · Daphne, AL

NPI number 1164683595 Active

Practice location

29653 Anchor Cross Blvd
Daphne, AL 36526-9594

Fax (251) 631-3461

Mailing address

PO Box 850489
Mobile, AL 36685-0489

Specialties and licenses

TaxonomyCodeLicense
Gynecologic Oncology Physician Primary 207VX0201XNone 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.

15 other providers at this address

About NPI 1164683595

Providence Healthcare Services's National Provider Identifier is 1164683595, issued on Jun 18, 2008. The primary taxonomy on file is Gynecologic Oncology Physician (207VX0201X), and the practice location is in Daphne, AL. The record was last updated on Aug 27, 2012.