Individual
MR. ALEXANDER FRASER PATTILLO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BC-HIS
Contact information
Practice address
2523 5TH AVE S, BIRMINGHAM, AL 35233-3303
(205) 322-8790
(205) 322-8713
Mailing address
8800 SE SUNNYSIDE RD STE 300N, CLACKAMAS, OR 97015-5703
(281) 286-2999
(512) 607-4893
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
—
—
237700000X
Hearing Instrument Specialist
Primary
4004
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-32916
BLUE CROSS BLUE SHIELD
AL
Enumeration date
06/22/2006
Last updated
03/17/2018
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