Dr BRENT DONOVAN HAVERSTOCK is a male medical professional, specializing in Podiatry. He graduated in 1995.
UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION,PC
3316 U S
SUITE 280
ALEXANDER CITY
AL
35010
Tel: 2057319701
| Npi | 1780111831 |
| Pac Id | 6709159841 |
| Professional Enrollment Id | I20180920002292 |
| Last Name | HAVERSTOCK |
| First Name | BRENT |
| Middle Name | DONOVAN |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1995 |
| Primary Specialty | PODIATRY |
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| Organization Legal Name | UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION,PC |
| Group Practice Pac Id | 1951213107 |
| Number Of Group Practice Members | 1779 |
| Line 1 Street Address | 3316 U S |
| Line 2 Street Address | SUITE 280 |
| Marker Of Address Line 2 Suppression | |
| City | ALEXANDER CITY |
| State | AL |
| Zip Code | 35010 |
| Phone Number | 2057319701 |
| Hospital Affiliation Ccn 1 | 010033 |
| Hospital Affiliation Lbn 1 | UNIVERSITY OF ALABAMA HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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