University of South Alabama
Organization Active NPI Pediatric Hematology & Oncology Physician · Mobile, AL
NPI 1124489604 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1124489604
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Hematology & Oncology Physician 2080P0207X
- Legal business name
- UNIVERSITY OF SOUTH ALABAMA
- Practice address
- 1601 Center St Ste 1S
Mobile, AL 36604-1541 - Phone
- (251) 410-5437
- Fax
- (251) 434-3852
- NPI assigned
- Mar 11, 2016
- Organization subpart
- No
Authorized official
- Name
- Glen Owen Bailey
- Title
- Ceo
- Phone
- (251) 471-7118
Corporate family (same tax ID) 18
National Provider Directory
- Tax ID family
- University of South Alabama Mitchell Cancer Institute
Locations
1601 Center St
Ste 1S
Mobile, AL 36604
Phone (251) 410-5437
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Hematology & Oncology Physician |
2080P0207X | Yes |
Addresses
Primary practice location
1601 Center St Ste 1S
Mobile, AL 36604-1541
Mailing address
PO Box 40480
Mobile, AL 36640-0480
Phone (251) 434-3626
Other names
- USA Hematology & Oncology- Pediatrics
Other providers in Mobile, AL
- University of South Alabama
- University of South Alabama
- University of South Alabama
- University of South Alabama
- University of South Alabama
- University of South Alabama
- University of South Alabama
- University of South Alabama
- University of South Alabama
- University of South Alabama
All providers in Mobile, AL · Pediatric Hematology & Oncology Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.