| Dch Provider Services, Llc | |
|
701 University Blvd E Ste 211 Tuscaloosa AL 35401-7431 | |
| (205) 759-6165 | |
| Not Available |
| Full Name | Dch Provider Services, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 701 University Blvd E Ste 211, Tuscaloosa, Alabama |
| Authorized Official Name and Position | Daniel Clay Conville (CORP DIRECTOR, PHYSICIAN SERVICES) |
| Authorized Official Contact | 2057596165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dch Provider Services, Llc 3901 Greensboro Ave Ste A Tuscaloosa AL 35405-3771 Ph: (205) 759-6165 | Dch Provider Services, Llc 701 University Blvd E Ste 211 Tuscaloosa AL 35401-7431 Ph: (205) 759-6165 |
| NPI Number | 1124711726 |
|---|---|
| Provider Enumeration Date | 05/30/2023 |
| Last Update Date | 05/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124711726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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