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Individual
DR. MARK A GOTFRYD
Active
Individual
DR. MARK A GOTFRYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00109
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27-10029
UHC PROVIDER NUMBER
AL
01
—
510-71144
BC/BS OF ALABAMA
AL
01
—
510-72959
BC/BS OF ALABAMA PROVIDER
AL
Enumeration date
08/31/2006
Last updated
02/07/2008
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