Organization
ALAN B AXELROTH DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN B AXELROTH DPM (PHYSCIAN)
(205) 221-5999
Entity
Organization
Contact information
Practice address
305 19TH ST E, JASPER, AL 35501-5413
(205) 221-5999
(205) 221-7006
Mailing address
305 19TH ST E, JASPER, AL 35501-5413
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00059
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51519107
BCBS OF AL
AL
01
—
T68858
BCBS OF AL UPIN
AL
Enumeration date
12/11/2007
Last updated
12/11/2007
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