Organization · NPI-2

Ag Podiatric Specialist And Associates

· Birmingham, AL

NPI number1013028828
StatusActive
Last updated in NPPESJun 6, 2009

Details

NPI
1013028828
Entity type
Organization (NPI-2)
Legal business name
Ag Podiatric Specialist And Associates
Organization subpart
No
Enumeration date
Aug 31, 2006
Last updated
Jun 6, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0131X 103ALYes

Practice location

1529 Bessemer Rd
Birmingham, AL 35208-4016

Phone 205-925-5272 · Fax 205-925-5278

Mailing address

1529 Bessemer Rd
Birmingham, AL 35208-4016

Phone 205-925-5272 · Fax 205-925-5278

Authorized official

Ronald David Agee
Owner
2059255272

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