Provider Demographics
NPI:1578790895
Name:PARDEN, JUSTIN ALEXANDER (MD)
Entity Type:Individual
Prefix:
First Name:JUSTIN
Middle Name:ALEXANDER
Last Name:PARDEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1722 PINE ST STE 203
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106-1158
Mailing Address - Country:US
Mailing Address - Phone:334-293-8736
Mailing Address - Fax:334-293-8738
Practice Address - Street 1:1758 PARK PL STE 300
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-1137
Practice Address - Country:US
Practice Address - Phone:334-293-8922
Practice Address - Fax:334-293-6820
Is Sole Proprietor?:No
Enumeration Date:2009-06-12
Last Update Date:2020-05-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ALMD.314032086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery