Individual
JUDY BLAIR-ELORTEGUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
575 STANTON RD, MOBILE, AL 36617-2344
(251) 471-7207
(251) 471-7468
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 434-3626
(251) 445-2464
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21109
AL
208000000X
Pediatrics Physician
21109
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121514
—
MS
05
—
009938330
—
AL
05
—
009938340
—
AL
05
—
009938360
—
AL
05
—
009938370
—
AL
01
—
110154510
RAILROAD MEDICARE PTAN
AL
05
—
1436691
—
LA
05
—
260524400
—
FL
01
—
51099030
BCBS INTERNAL MED
AL
01
—
51099031
BCBS SRC
AL
01
—
51099034
BCBS SPRINGHILL
AL
01
—
51544165
BCBS-1707 CTR ST, #201
AL
Enumeration date
05/08/2006
Last updated
03/05/2021
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