Individual
JORGE E ALONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3421 MEDICAL PARK DR, MED PARK II, MOBILE, AL 36693-3330
(251) 665-8200
(251) 665-8210
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 470-5842
(251) 470-5809
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
L1748
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000080124
BLUE CROSS
AL
05
—
000080124
—
AL
05
—
009932414
—
AL
01
—
010033CD32883
SECTION 1011
AL
01
—
051529634
BLUE CROSS
AL
01
—
51592978
BCBS - 3421 MED PK DR
AL
01
—
D32883
VIVA
AL
Enumeration date
05/22/2006
Last updated
10/27/2008
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