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Individual
JOHN TALYOR ANDERSON
Active
Individual
JOHN TALYOR ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
28496
AL
207RP1001X
Pulmonary Disease Physician
28496
AL
208000000X
Pediatrics Physician
28496
AL
390200000X
Student in an Organized Health Care Education/Training Program
28496
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00752754
—
MS
01
—
051116644
BCBS
AL
01
—
051116645
BCBS
AL
01
—
051116646
BCBS
AL
05
—
128675
—
AL
05
—
128676
—
AL
05
—
128677
—
AL
Enumeration date
05/03/2007
Last updated
03/11/2016
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