Individual
BRIAN W FOUTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2451 FILLINGIM ST, MASTIN BLDG. SUITE 102, MOBILE, AL 36617-2238
(251) 470-5890
(251) 471-7925
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 470-5890
(251) 471-7925
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25855
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009955975
—
AL
05
—
009956545
—
AL
05
—
03471203
—
MS
01
—
48-10284
UNITED HEALTH CARE
AL
01
—
51522231
BLUE CROSS
AL
01
—
51522232
BLUE CROSS
AL
Enumeration date
05/19/2006
Last updated
05/12/2015
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