MEDICARE: PULMONARY ASSOCIATES OF MOBILE, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	13922	AL

General Provider Information

NPI Number	:	1003055344
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PULMONARY ASSOCIATES OF MOBILE, PC

Provider Business Mailing Address
First Line	:	PO BOX 7987
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36670-0987
Country	:	US
Telephone Number	:	251-445-4797
Fax Number	:	251-633-7367

Provider Business Practice Location Address
First Line	:	109 MEDICAL PARK DR
Second Line	:	SUITE C
City	:	ANDALUSIA
State	:	AL
Zip	:	36420-5323
Country	:	US
Telephone Number	:	251-445-4797
Fax Number	:	251-633-7367

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. JOSEPH ROWEN ZURFLUH
Credential	:
Telephone Number	:	251-633-0573

Provider Enumeration Date	:	02/10/2009
Last Update Date	:	02/10/2009

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