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Individual
ANDREW CHARLES CRIDER
Active
Individual
ANDREW CHARLES CRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.A.
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA813
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051555185
—
AL
01
—
51524120
BCBS ALABAMA
AL
Enumeration date
04/18/2006
Last updated
01/17/2013
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