Doctor Name: | DR. CHRISTOPHER D. MIRE |
NPI Number: | 1457363475 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 27371 |
Business Practice Address: | 124a South University Blvd. Mobile, AL - 36608 |
Business Phone Number: | 2513435004 |
Business Fax Number: | 2513435136 |
Mailing Address: | P.o. Box 850849, MOBILE |
State: | AL |
Postal Code: | 366850849 |
Phone Number: | 2513435004 |
Fax Number: | 2513435136 |
NPI Enumeration Date: | 08/12/2006 |
NPI Last Update Date: | 12/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 27371 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |