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DR. JOHN ALBERT INDOVINA M.D.

>> Surgery >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1255420758

Individual Registrant:
DR. JOHN ALBERT INDOVINA M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
15225 HIGHWAY 43 STE B-1  RUSSELLVILLE, AL 35653-1999 US
Tel: 256-332-8658  Fax: --

Contact information for business:
15225 HIGHWAY 43 STE B-1  RUSSELLVILLE, AL 35653-1999 US
Tel: (25-6) -332-8658  Fax: --

Registration Information:
NPI: 1255420758
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208600000XAllopathic & Osteopathic Physicians
Surgery
ALMD28281
N208600000XAllopathic & Osteopathic Physicians
Surgery
LAMD021449

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1987662LA05
009913354AL05




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