Individual
DR. MARK A GOTFRYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1703 CENTER POINT PKWY, BIRMINGHAM, AL 35215-5505
(205) 853-7878
(205) 853-8272
Mailing address
1703 CENTER POINT PKWY, BIRMINGHAM, AL 35215-5505
(205) 853-7878
(205) 853-8272
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00109
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27-10029
UHC PROVIDER NUMBER
AL
01
—
510-71144
BC/BS OF ALABAMA
AL
01
—
510-72959
BC/BS OF ALABAMA PROVIDER
AL
Enumeration date
08/31/2006
Last updated
02/07/2008
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