Individual
DR. WILLIAM E BLAYLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6701 AIRPORT BLVD, STE. B111, MOBILE, AL 36608-6705
(251) 378-3000
Mailing address
6701 AIRPORT BLVD, STE. B111, MOBILE, AL 36608-6705
(251) 378-3000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
18758
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009934344
—
AL
Enumeration date
08/29/2006
Last updated
07/14/2009
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