Healthcare Provider Details

I. General information

NPI: 1508848664
Provider Name (Legal Business Name): EMERGENCY MEDICINE ASSOCIATES OF MOBILE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2005
Last Update Date: 08/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6801 AIRPORT BLVD
MOBILE AL
36608-3709
US

IV. Provider business mailing address

PO BOX 70207
MOBILE AL
36670-1207
US

V. Phone/Fax

Practice location:
  • Phone: 251-479-7762
  • Fax: 251-476-5460
Mailing address:
  • Phone: 251-479-7762
  • Fax: 251-476-5460

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. STEPHEN E BOWDEN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 251-479-7762