Healthcare Provider Details

I. General information

NPI: 1700044328
Provider Name (Legal Business Name): METRO ANESTHESIA & PAIN SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2008
Last Update Date: 05/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1340 SLEDGE DR
MOBILE AL
36606-3021
US

IV. Provider business mailing address

1340 SLEDGE DR
MOBILE AL
36606-3021
US

V. Phone/Fax

Practice location:
  • Phone: 251-342-0004
  • Fax: 251-343-7704
Mailing address:
  • Phone: 251-342-0004
  • Fax: 251-343-7704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number4239
License Number StateAL

VIII. Authorized Official

Name: DR. DAVID GUY WALSH
Title or Position: CEO
Credential: MD
Phone: 251-342-0004