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Individual

MICHEAL RAY LINVILLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2200A 2ND ST, MUSCLE SHOALS, AL 35661-1271
(256) 381-3878
(256) 381-6040
Mailing address
PO BOX 2583, MUSCLE SHOALS, AL 35662-2583
(256) 381-3878
(256) 381-6040

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0259
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
515-11248
BLUE CROSS
Enumeration date
04/13/2006
Last updated
03/19/2015
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