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DR. MARLA JEAN GLEASON MD

>> Obstetrics & Gynecology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1093702458

Individual Registrant:
DR. MARLA JEAN GLEASON MD
Gender: F
Sole Proprietor

Location and contact information for practice:
2001 MEDICAL CENTER DR  BAY MINETTE, AL 36507-4163 US
Tel: 251-937-7016  Fax: 251-937-7612

Contact information for business:
2001 MEDICAL CENTER DR  BAY MINETTE, AL 36507-4163 US
Tel: 251-937-7016  Fax: 251-937-7612

Registration Information:
NPI: 1093702458
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207V00000XAllopathic & Osteopathic Physicians
Obstetrics & Gynecology
AL11955

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELD AL51014571AL01
000014571AL05




HEALTH CARE JOBS AL - Page 1

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