Individual
JOHN PAUL MCLENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
245 GOVERNORS DR SE, HUNTSVILLE, AL 35801-2700
(256) 265-7981
(256) 265-4987
Mailing address
PO BOX 2705, HUNTSVILLE, AL 35804-2705
(256) 265-7981
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD.29377
AL
208000000X
Pediatrics Physician
35148584
OH
208000000X
Pediatrics Physician
MD.29377
AL
208M00000X
Hospitalist Physician
Primary
29377
AL
208M00000X
Hospitalist Physician
32055
MS
208M00000X
Hospitalist Physician
35148584
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019370
—
OH
01
—
1215130612
TRICARE SOUTH
AL
05
—
129212
—
AL
05
—
138594
—
AL
01
—
511-05876
BCBS
AL
01
—
511-06565
BCBS
AL
01
—
Z10928
VIVA HEALTH
AL
Enumeration date
06/06/2007
Last updated
11/08/2023
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