Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 36231 | AL |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | Q8419 | TX |
NPI | 1073807442 |
---|---|
Provider Name | Philip Ashley |
First Address | Birmingham, AL 35255-5310 |
Second Address | Birmingham, AL 35233-1711 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2011 |
Last Update Date | 17/03/2018 |