Provider Demographics
NPI:1558780619
Name:PHARR, ALAN (RRT)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:
Last Name:PHARR
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 SHORE FRONT LN
Mailing Address - Street 2:
Mailing Address - City:WILSONVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35186-8613
Mailing Address - Country:US
Mailing Address - Phone:205-777-8647
Mailing Address - Fax:205-701-8624
Practice Address - Street 1:118 SHORE FRONT LN
Practice Address - Street 2:
Practice Address - City:WILSONVILLE
Practice Address - State:AL
Practice Address - Zip Code:35186-8613
Practice Address - Country:US
Practice Address - Phone:205-777-8647
Practice Address - Fax:205-701-8624
Is Sole Proprietor?:No
Enumeration Date:2014-04-15
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12142279P1004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279P1004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredPulmonary Diagnostics