Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | 2835 | AL |
NPI | 1386632420 |
---|---|
Provider Name | Dr. Warren W Arrasmith |
First Address | Bessemer, AL 35021-1263 |
Second Address | Bessemer, AL 35020 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T68637 | (02) |