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Individual

PAUL A GOEPFERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
16866
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000084500
BLUE CROSS
AL
05
000084500
AL
01
051510650
BLUE CROSS
AL
01
440001214
RAILROAD MEDICARE
AL
01
F30218
VIVA
AL
Enumeration date
06/28/2006
Last updated
06/29/2023
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