Doctor Name: | DR. ALVIN WAYNE ROWELL |
NPI Number: | 1700079134 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | OS 8263 |
Business Practice Address: | 105 Us Highway 80 E Demopolis, AL - 367323605 |
Business Phone Number: | 3342894000 |
Business Fax Number: | |
Mailing Address: | Po Box 822037, SOUTH FLORIDA |
State: | FL |
Postal Code: | 330822037 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/20/2007 |
NPI Last Update Date: | 08/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OS 8263 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |