Provider Demographics
NPI:1720239932
Name:INFIRMARY WEST ONCOLOGY AND INFUSION SERVICES
Entity Type:Organization
Organization Name:INFIRMARY WEST ONCOLOGY AND INFUSION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:GIBSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-435-7500
Mailing Address - Street 1:3 MOBILE INFIRMARY CIRCLE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36607-3515
Mailing Address - Country:US
Mailing Address - Phone:251-435-7500
Mailing Address - Fax:251-435-7524
Practice Address - Street 1:3 MOBILE INFIRMARY CIRCLE
Practice Address - Street 2:SUITE 301
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607-3515
Practice Address - Country:US
Practice Address - Phone:251-435-7500
Practice Address - Fax:251-435-7524
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INFIRMARY HEALTH HOSPITALS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty