FORT PAYNE PEDIATRICS LLC NPI 1033477393

NPI Information

FORT PAYNE PEDIATRICS LLC is a rural health clinic center in Fort Payne, AL. FORT PAYNE PEDIATRICS LLC NPI is 1033477393. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Ft Payne Pediatrics,llc.

The provider's business location address is:

1906 GLENN BLVD SW STE 100A
FORT PAYNE, AL
ZIP 35968-546
Phone: (256) 997-5900

The provider's authorized official is Peter Strogov .
The authorized official title is Physician/owner and has the following contact phone number (256) 997-5900.

The enumeration date for this NPI number is 4/24/2012 and was last updated on 3/31/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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