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Individual

PAUL D MUMFREY II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
401 LOWELL DR SE STE 1, HUNTSVILLE, AL 35801-3738
(256) 265-4462
(256) 265-4463
Mailing address
PO BOX 2705, HUNTSVILLE, AL 35804-2705
(256) 265-4462
(256) 265-4463

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
43830
AL
207V00000X
Obstetrics & Gynecology Physician
M1955
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
176595001
TX
05
176595003
TX
05
176595004
TX
01
8S9290
BCBS
TX
Enumeration date
12/28/2005
Last updated
03/22/2022
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