Organization · Type 2 NPI
Providence Healthcare Services
Gynecologic Oncology Physician · Gulf Shores, AL
Practice location
253 Professional Ln
Gulf Shores, AL 36542-3461
Fax (251) 631-3461
Mailing address
PO Box 850489
Mobile, AL 36685-0489
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gynecologic Oncology Physician Primary | 207VX0201X | 940365 (TX) |
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.
Another provider at this address
About NPI 1801188503
Providence Healthcare Services's National Provider Identifier is 1801188503, issued on May 12, 2011. The primary taxonomy on file is Gynecologic Oncology Physician (207VX0201X), and the practice location is in Gulf Shores, AL. The record was last updated on Aug 27, 2012.