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Individual

ASTON G ARCHIBALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6701 AIRPORT BLVD, SUITE D430B, MOBILE, AL 36608-6705
(979) 393-9940
Mailing address
6701 AIRPORT BLVD, SUITE D430B, MOBILE, AL 36608-6705
(979) 393-9940

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
17223
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051552058
AL
05
09233560
MS
01
51552058
BCBS
AL
Enumeration date
06/23/2006
Last updated
04/30/2008
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