Individual
JEFFERY S MAGNUSON
Active
Individual
JEFFERY S MAGNUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
19372
AL
207Y00000X
Otolaryngology Physician
ME113411
FL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
ME113411
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000020880
BLUE CROSS
AL
05
—
000020880
—
AL
05
—
009965835
—
AL
01
—
051517997
BLUE CROSS
AL
01
—
G31208
VIVA
AL
Enumeration date
07/06/2006
Last updated
08/20/2019
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