IMC OTOLARYNGOLOGY FACIAL PLASTIC & RECONSTRUCTIVE SURGERY P.C. NPI 1275828659

NPI Information

IMC OTOLARYNGOLOGY FACIAL PLASTIC & RECONSTRUCTIVE SURGERY, P.C. is a facial plastic surgery otolaryngology in Mobile, AL. The provider is an otolaryngologist who specializes in facial plastic surgery. IMC OTOLARYNGOLOGY FACIAL PLASTIC & RECONSTRUCTIVE SURGERY, P.C. NPI is 1275828659. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3401 MEDICAL PARK DR
BLDG 1, SUITE 103
MOBILE, AL
ZIP 36693-318
Phone: (251) 463-2010

The provider's authorized official is Marianne F Smith .
The authorized official title is Director and has the following contact phone number (251) 463-2010.

The enumeration date for this NPI number is 6/14/2011 and was last updated on 6/14/2011.

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:

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