Healthcare Provider Details

I. General information

NPI: 1770502080
Provider Name (Legal Business Name): NOEL C ESTOPINAL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 01/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOSPITAL DR SW SUITE 100
HUNTSVILLE AL
35801-6455
US

IV. Provider business mailing address

1 HOSPITAL DR SW SUITE 100
HUNTSVILLE AL
35801-6455
US

V. Phone/Fax

Practice location:
  • Phone: 256-880-4464
  • Fax: 256-880-4476
Mailing address:
  • Phone: 256-880-4464
  • Fax: 256-880-4476

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number00013919
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: