Individual
PAUL J CIAVARELLI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2304 GATEWAY DR STE B, OPELIKA, AL 36801-7273
(334) 741-7600
(847) 241-7600
Mailing address
2304 GATEWAY DR STE B, OPELIKA, AL 36801-7273
(334) 741-7600
(801) 383-5077
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
179
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51038839
BCBS
AL
01
—
51536298
BCBS
AL
01
—
51536299
BCBS
AL
01
—
51536300
BCBS
AL
Enumeration date
08/13/2006
Last updated
02/27/2013
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