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Individual

RICHARD S. TEPLICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
251 N BAYOU ST, MOBILE, AL 36603-5827
(251) 690-8158
(251) 544-2188
Mailing address
PO BOX 2867, MOBILE, AL 36652-2867
(251) 690-8894
(251) 544-2188

Taxonomy

Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
24364
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00125488
MS
05
009981475
AL
01
011846
MEDICARE SITE GROUP NUMBER
AL
05
051507635
AL
01
1063439065
NPI SITE GROUP PAYEE NUMBER
AL
01
20-00349
UNITED HEALTHCARE
AL
05
271504000
FL
01
51507635
BCBS
AL
01
51507639
BCBS
AL
05
630000013
AL
Enumeration date
06/07/2006
Last updated
11/30/2012
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