Individual
DR. PHILIP M TRAYNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
9625 US HIGHWAY 431, ALBERTVILLE, AL 35950-0129
(256) 878-0971
Mailing address
PO BOX 88, VINEMONT, AL 35179-0088
(256) 878-0971
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
140
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000074415
—
AL
05
—
136479605
—
TX
01
—
51074415
BCBS
AL
Enumeration date
11/02/2005
Last updated
07/25/2018
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