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Individual

FERNANDO J. ALEGRIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
105 HWY 80 EAST, SUIT 225, DEMOPOLIS, AL 36732
(334) 289-3755
(334) 289-3766
Mailing address
PO BOX 500, DEMOPOLIS, AL 36732-0500
(334) 289-3755
(334) 289-3766

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
00025440
AL
208600000X
Surgery Physician
34132
MN
208600000X
Surgery Physician
35042412A
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51518299
BCBS
AL
Enumeration date
10/19/2006
Last updated
07/08/2007
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