Providence Healthcare Services
Providence Healthcare Services is a Gynecologic Oncology Physician in Daphne, Alabama. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
29653 Anchor Cross BlvdDaphne, AL 36526-9594
Phone: (251) 631-3490
Fax: (251) 631-3461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gynecologic Oncology Physician (primary) | Taxonomy 207VX0201X |
|---|
Record details
| NPI number | 1164683595 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Clark Christianson — President · (251) 631-3574 |
| Other names | Providence Medical Group |
| NPI enumerated | June 18, 2008 |
| Last updated in NPPES | August 27, 2012 |
| Mailing address | Po Box 850489, Mobile, AL 36685-0489 |