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Individual

MR. RAY A FAMBROUGH

Active
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Individual

MR. RAY A FAMBROUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
6835
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000008835
AL
01
0910134
UNITED HEALTHCARE
AL
01
200038949
RAILROAD MEDICARE
AL
01
4003535
AETNA
AL
01
51008835
BCBS
AL
Enumeration date
03/15/2006
Last updated
10/05/2009
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