| Ft Payne Pediatrics,llc | |
|
1906 Glenn Blvd Sw Ste 100a Fort Payne AL 35968-3546 | |
| (256) 997-5900 | |
| Not Available |
| Full Name | Ft Payne Pediatrics,llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1906 Glenn Blvd Sw Ste 100a, Fort Payne, Alabama |
| Authorized Official Name and Position | Peter Strogov (PHYSICIAN/OWNER) |
| Authorized Official Contact | 2569975900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ft Payne Pediatrics,llc 1906 Glenn Blvd Sw Ste 100a Fort Payne AL 35968-3546 Ph: (256) 997-5900 | Ft Payne Pediatrics,llc 1906 Glenn Blvd Sw Ste 100a Fort Payne AL 35968-3546 Ph: (256) 997-5900 |
| NPI Number | 1033477393 |
|---|---|
| Provider Enumeration Date | 04/24/2012 |
| Last Update Date | 03/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033477393 | NPI | - | NPPES |
| 139385 | Medicaid | AL |
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