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Individual

MR. DONALD LAWRENCE BEDSOLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5955 AIRPORT BLVD, MOBILE, AL 36608
(251) 633-0573
(251) 633-7367
Mailing address
PO BOX 7987, MOBILE, AL 36670-0987
(251) 633-0573
(251) 633-7367

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
24341
AL
207RP1001X
Pulmonary Disease Physician
Primary
24341
AL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
24341
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04383264
MS MEDICAID
MS
01
102I293604
MEDICARE
AL
05
114384
AL
05
212339
AL
05
212885
AL
05
221311
AL
01
2213591
UHC
AL
05
221440
AL
01
3927512
CIGNA HC
AL
01
512-05486
BCBS
AL
01
512-05487
BCBS
AL
01
515-42476
BCBS
AL
01
9142095
AETNA
AL
01
H64421
VIVA HEALTH
AL
01
P01098579
RR MEDICARE
AL
Enumeration date
04/30/2007
Last updated
03/19/2024
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