NPI 1013113760

Providence Healthcare Services

Organisation Gynecologic Oncology Physician Mobile, AL

Practice location

Address: 6701 Airport Blvd Suite B127, Mobile, AL 36608-6705
Phone: (251) 631-3490
Fax: (251) 631-3461
Mailing address: PO Box 850489, Mobile, AL 36685-0489

Authorised official

Name: Clark P. Christianson
Title: President
Phone: (251) 631-3574

Registered specialties

Gynecologic Oncology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207VX0201X

Other Obstetrics & Gynecology providers in Alabama →

Registry record

NPI: 1013113760
Entity type: Organization
NPI issued: 21 Jun 2007
Record last updated: 17 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.