Doctor Name: | DR. JODEL GAZO JAMPAYAS |
NPI Number: | 1841480993 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME 83017 |
Business Practice Address: | 255 W Oxmoor Rd Birmingham, AL - 352096343 |
Business Phone Number: | 2057951667 |
Business Fax Number: | 2057951848 |
Mailing Address: | 2706 Oxmoor Way, BIRMINGHAM |
State: | AL |
Postal Code: | 352116437 |
Phone Number: | 2059439464 |
Fax Number: | 2057951848 |
NPI Enumeration Date: | 07/25/2007 |
NPI Last Update Date: | 07/25/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME 83017 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |