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Individual

SCOTT E BUCHALTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
09403
AL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
9403
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000036377
BLUE CROSS
AL
05
000036377
AL
01
290007826
RAILROAD MEDICARE
AL
01
5369
HEALTHSPRING
AL
01
C73100
VIVA
AL
Enumeration date
06/08/2006
Last updated
02/01/2024
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