Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 12933 | AL |
NPI | 1003939471 |
---|---|
Provider Name | Dr. Oscar Domingo Almeida JR. |
First Address | Jasper, AL 35501-5461 |
Second Address | Jasper, AL 35501-5461 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2007 |
Last Update Date | 21/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
189114 | (05) | AL |
C74607 | (02) | AL |