Individual
SAMUEL A. MCQUISTON JR.
Active
Individual
SAMUEL A. MCQUISTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
24854
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009932016
—
AL
05
—
009932017
—
AL
05
—
07134073
—
MS
01
—
17-10678
UNITED HEALTH CARE
AL
05
—
1722219
—
LA
05
—
274819300
—
FL
01
—
51529665
BLUE CROSS
AL
01
—
51529668
BCBS - 575 STANTON RD
AL
01
—
51533229
BLUE CROSS
AL
01
—
51590613
BCBS - 1700 CENTER ST
AL
01
—
51593343
BCBS - 1504 SPRINGHILL AVE
AL
01
—
P00244978
RAILROAD MEDICARE PTAN
AL
Enumeration date
05/19/2006
Last updated
05/06/2015
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