Individual
DR. RALPH BURTON PFEIFFER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4300 W MAIN ST, STE 24, DOTHAN, AL 36305-1054
(334) 793-1534
(334) 793-6840
Mailing address
4300 W MAIN ST, STE 24, DOTHAN, AL 36305-1054
(334) 793-1534
(334) 793-6840
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
26537
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009986015
—
AL
05
—
009986025
—
AL
01
—
51000716
AL BCBS # FOR OFFICE #2
AL
01
—
51000717
AL BCBS # FOR OFFICE #1
AL
Enumeration date
06/21/2005
Last updated
12/23/2014
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