Individual
ARDEN LEROY AYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
803 NORTH ST E, TALLADEGA, AL 35160-2529
(256) 362-1600
(256) 362-8698
Mailing address
803 NORTH ST E, TALLADEGA, AL 35160-2529
(256) 362-1600
(256) 362-8698
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
28874
AL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
28874
AL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
42258
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1996126-01
—
TX
01
—
511-35487
BLUE CROSS BLUE SHIELD
AL
01
—
PP30842
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/22/2007
Last updated
09/18/2013
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