Michael Jeffery Dellapenna, PA
Physician Assistant in Tuscaloosa, AL. Individual provider (NPI-1).
NPI number1962467290
StatusActive
Last updated in NPPESFeb 12, 2009
Details
- NPI
- 1962467290
- Entity type
- Individual (NPI-1)
- Name
- Mr. Michael Jeffery Dellapenna
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 19, 2006
- Last updated
- Feb 12, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | pa009 | AL | Yes |
Practice location
100 Rice Mine Road LoopSuite 205
Tuscaloosa, AL 35406-2419
Phone 205-752-1800 · Fax 205-752-1891
Mailing address
100 Rice Mine Road LoopSuite 205
Tuscaloosa, AL 35406-2419
Phone 205-752-1800 · Fax 205-752-1891
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