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Individual

JAROD E SPEER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
34011 US HIGHWAY 280, SUITE A, CHILDERSBURG, AL 35044-2128
(256) 378-3313
(256) 378-5912
Mailing address
PO BOX 349, CHILDERSBURG, AL 35044-0349
(256) 378-3313
(256) 378-5912

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27731
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1952484081
AL
01
200356379
TRICARE
AL
01
51590048
BLUE CROSS BLUE SHIELD
AL
01
80252
COMMERCIAL
AL
01
P00392428
RAILROAD MEDICARE
AL
Enumeration date
11/10/2006
Last updated
03/06/2009
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