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Individual

WILLIAM MARK SCOFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
632 2ND ST NE, ALABASTER, AL 35007-8817
(205) 621-0145
(205) 664-2420
Mailing address
632 2ND ST NE, ALABASTER, AL 35007-8817
(205) 621-0145
(205) 664-2420

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
12767
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05108325SCO
BLUE CROSS
AL
01
103I024232
MEDICARE PTAN
AL
01
1710202
UNITED HEALTHCARE
05
176555
AL
Enumeration date
07/11/2006
Last updated
11/14/2017
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