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NPI Code Detail

MEDICARE: ALEC RYAN WEIL PA-C

MEDICARE: ALEC RYAN WEIL PA-C
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
1363A00000XPhysician Assistant1581AL

General Provider Information

NPI Number : 1619591922
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEC RYAN WEIL PA-C
Provider Business Mailing Address
First Line : 4517 SOUTHLAKE PKWY
Second Line :
City : HOOVER
State : AL
Zip : 35244-3280
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4517 SOUTHLAKE PKWY
Second Line :
City : HOOVER
State : AL
Zip : 35244-3280
Country : US
Telephone Number : 205-985-4111
Fax Number : 205-985-4326
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2020
Last Update Date : 12/08/2025

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Directions to “ ALEC RYAN WEIL PA-C” Practice Location

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