Individual
JOHN M CUCKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
513 BROOKWOOD BLVD, SUITE 350, BIRMINGHAM, AL 35209-6862
(205) 802-4577
(205) 802-4579
Mailing address
513 BROOKWOOD BLVD, SUITE 350, BIRMINGHAM, AL 35209-6862
(205) 802-4577
(205) 802-4579
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
23520
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51005420
BCBS ALABAMA
AL
05
—
9910104
—
AL
01
—
B34669
VIVA
AL
Enumeration date
06/13/2006
Last updated
07/24/2007
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