Individual provider · Type 1 NPI

Diana J. Tavener, P.A.

Surgical Physician Assistant · Birmingham, AL

NPI number 1497900393 Active

Practice location

805 Saint Vincents Dr, Suite 100
Birmingham, AL 35205-1636

Call (205) 939-3699 Map

Fax (205) 939-0989

Mailing address

4600 Highway 280, Ste 200
Birmingham, AL 35242

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA-152 (AL)

Surgical Physician Assistant: Definition to come...

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About NPI 1497900393

Diana J. Tavener, P.A.'s National Provider Identifier is 1497900393, issued on Nov 20, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Birmingham, AL. The record was last updated on Oct 20, 2015.