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DR. BRENT M HARWOOD DPM

Foot & Ankle Surgery >> Podiatrist >> Podiatric Medicine & Surgery Service Providers

Registrant NPI Number: 1609869536

Individual Registrant:
DR. BRENT M HARWOOD DPM
Gender: M
Not Sole Proprietor

Location and contact information for practice:
23937 HWY 98  MONTROSE, AL 36559 US
Tel: 251-928-6768  Fax: 251-928-0783

Contact information for business:
23937 US HIGHWAY 98 STE 1 FAIRHOPE, AL 36532-3359 US
Tel: 251-928-6768  Fax: 251-928-0783

Registration Information:
NPI: 1609869536
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y213ES0103XPodiatric Medicine & Surgery Service Providers
Podiatrist
Foot & Ankle Surgery
AL155

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BCBS AL051093260AL01
BCBS AL051548844AL01
BCBS ALABAMA051093258AL01
BCBS ALABAMA051093257AL01
BCBS FLORIDA65445FL01
BCBS ALABAMA051052087AL01
BCBS AL051047231AL01
BCBS ALABAMA051093263AL01
BCBS AL059203311AL01
BCBS ALABAMA059178052AL01
BCBS AL051047422AL01
RAILROAD MEDICAREP00350970FL01




HEALTH CARE JOBS AL - Page 1



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