Individual
ELMO DODD OZMENT JR.
Active
Individual
ELMO DODD OZMENT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3604
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011846
MEDICARE GROUP PAYEE NUMBER
AL
01
—
020032330
RAILROAD MEDICARE
AL
01
—
1063439065
NPI GROUP PAYEE NUMBER
AL
01
—
1710060
UNITED HEALTHCARE
AL
05
—
630000013
—
AL
Enumeration date
05/03/2006
Last updated
10/16/2012
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