# GARY L BELANGER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1205879137
- **Gender:** Man
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA279 | AL | — |
| 363A00000X | Physician Assistant | PA9106277 | FL | Yes |

## Other

- **Enumeration date:** 06/14/2006
- **Last updated:** 11/18/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 051512155 | BLUE CROSS BLUE SHIELD AL | AL |
| 01 | — | 510-50070 | BCBS OF ALABAMA | AL |
| 05 | — | 528701110 | — | AL |
| 01 | — | CA0084 | RR MEDICARE | AL |