Individual
REGINALD F. MUNDEN
Active
Individual
REGINALD F. MUNDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
28666
AL
2085R0202X
Diagnostic Radiology Physician
Primary
15486
SC
2085R0202X
Diagnostic Radiology Physician
2016-02125
NC
2085R0202X
Diagnostic Radiology Physician
J8328
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009914016
—
AL
05
—
009914017
—
AL
05
—
009914018
—
AL
05
—
009914019
—
AL
05
—
009914021
—
AL
01
—
051546435
BCBS OF AL
AL
01
—
051546437
BCBS OF AL
AL
01
—
051546438
BCBS OF AL
AL
01
—
051546439
BCBS OF AL
AL
01
—
051546440
BCBS OF AL
AL
01
—
G04973
VIVA
AL
Enumeration date
09/15/2006
Last updated
03/16/2021
Update your record
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