Individual
DR. CHRISTOPHER D. MIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
124A SOUTH UNIVERSITY BLVD., MOBILE, AL 36608
(251) 343-5004
(251) 343-5136
Mailing address
P.O. BOX 850849, MOBILE, AL 36685-0849
(251) 343-5004
(251) 343-5136
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
27371
AL
207RN0300X
Nephrology Physician
Primary
27371
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009939933
—
AL
05
—
009939933
—
AL
01
—
51535226
BCBS
AL
Enumeration date
08/12/2006
Last updated
12/10/2009
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