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Individual

DR. WILLIAM G KUCZERPA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2525 US HWY 431, STE. 210, BOAZ, AL 35957-5967
(256) 840-4653
(256) 840-3182
Mailing address
2525 US HWY 431, STE. 210, BOAZ, AL 35957-5967
(256) 840-4653
(256) 840-3182

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
00022236
AL
207RP1001X
Pulmonary Disease Physician
Primary
22236
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51513931
BCBS
AL
Enumeration date
11/04/2005
Last updated
01/31/2014
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