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Individual

DR. FORREST G CRABTREE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
801 UNIVERSITY BLVD S # A, MOBILE, AL 36609-2923
(251) 344-4571
(251) 344-2413
Mailing address
801 UNIVERSITY BLVD S # A, MOBILE, AL 36609-2923
(251) 344-4571
(251) 344-2413

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5412
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
515-32488
BLUE CROSS BLUE SHIELD AL
AL
Enumeration date
01/03/2008
Last updated
01/03/2008
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