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Individual

MR. WILFRED W YEARGAN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
3697
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000007147
AL
01
0923740001
MEDICARE DMERC
AL
01
407183036
MEDICARE RAILROAD
AL
01
51007147
BLUE CROSS
AL
Enumeration date
10/06/2005
Last updated
08/18/2011
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