Organization
JOHN B CRIDER, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN B CRIDER MD (OWNER)
(256) 586-4127
Entity
Organization
Contact information
Practice address
1170 N MAIN ST, ARAB, AL 35016-1070
(256) 586-4127
(256) 586-0535
Mailing address
1170 N MAIN ST, ARAB, AL 35016-1070
(256) 586-4127
(256) 586-0535
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14729
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529924020
—
AL
Enumeration date
10/21/2008
Last updated
10/21/2008
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