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Individual

DR. WILLIAM CARTER STANDEFFER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
305 PAUL BRYANT DR E, TUSCALOOSA, AL 35401-2094
(205) 345-0192
(205) 247-2194
Mailing address
305 PAUL BRYANT DR E, TUSCALOOSA, AL 35401-2094
(205) 345-0192
(205) 247-2194

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
22706
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51500688
BLUE CROSS BLUE SHIELD
AL
01
51517519
BLUE CROSS BLUE SHIELD
AL
01
51517522
BLUE CROSS BLUE SHIELD
AL
Enumeration date
05/16/2006
Last updated
07/08/2007
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