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WEST ALABAMA PHYSICIAN ASSOCIATES LLC NPI 1316101769


NPI Information

NPI: 1316101769
Provider Name: WEST ALABAMA PHYSICIAN ASSOCIATES LLC

Doing Business As: WEST ALABAMA UROLOGY ASSOCIATES

Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 01D0684167

Address:
701 UNIVERSITY BLVD E
SUITE 908
TUSCALOOSA, AL
ZIP 35401
Phone: (205) 344-9393
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WEST ALABAMA PHYSICIAN ASSOCIATES LLC is an urology in Tuscaloosa, AL. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. WEST ALABAMA PHYSICIAN ASSOCIATES LLC NPI is 1316101769. The provider is registered as an organization entity type.
The provider Is Doing Business As West Alabama Urology Associates.

The provider's business location address is:

701 UNIVERSITY BLVD E
SUITE 908
TUSCALOOSA, AL
ZIP 35401-423
Phone: (205) 344-9393
Fax: (205) 758-6750

The provider's authorized official is Daniel Clay Conville .
The authorized official title is Corp Director, Physician Services and has the following contact phone number (205) 759-6165.

The CLIA number assigned to this NPI record is 01D0684167 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/15/2008 and was last updated on 6/9/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesALABAMANo
2208800000XUrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D03406OTHERALABAMAMEDICARE RAILROAD
2103891MEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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