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Individual

DR. JOSE LUIZ ESCOBAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
273 WINTON M BLOUNT LOOP, MONTGOMERY, AL 36117-3507
(334) 280-1500
(334) 280-1600
Mailing address
PO BOX 241587, MONTGOMERY, AL 36124-1587
(334) 280-1500
(334) 280-1600

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
15654
AL
207RI0011X
Interventional Cardiology Physician
Primary
15654
AL
207UN0901X
Nuclear Cardiology Physician
15654
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02148
AL
01
051006987
BLUE SHIELD PROVIDER #
AL
01
051502148
BLUE SHIELD PROVIDER #
AL
01
051544084
BLUE SHIELD PROVIDER #
AL
01
051547121
BLUE SHIELD PROVIDER #
AL
01
15654
MEDICAL LICENSE
AL
Enumeration date
07/04/2006
Last updated
03/07/2023
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