Individual
RAYMOND E POORE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1780 MCFARLAND BLVD N, TUSCALOOSA, AL 35406-2136
(205) 345-7351
(205) 345-8476
Mailing address
1400 AFFLINK PL, SUITE 100, TUSCALOOSA, AL 35406-2289
(205) 366-9740
(205) 344-9992
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
20891
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114255
—
AL
05
—
114258
—
AL
05
—
114261
—
AL
05
—
114264
—
AL
01
—
20891
MEDICAL LICENSE
AL
01
—
510-68237
BCBS OF AL
AL
01
—
510-68253
BCBS OF AL
AL
01
—
510-68270
BCBS OF AL
AL
01
—
511-00713
BCBS OF AL
AL
Enumeration date
04/26/2006
Last updated
01/24/2014
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