Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 17294 | AL |
NPI | 1013012657 |
---|---|
Provider Name | Richard Oyler |
First Address | Mobile, AL 36608-9525 |
Second Address | Mobile, AL 36608-9525 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2006 |
Last Update Date | 21/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
51085202 | BLUE CROSS (01) | AL |
930015866 | RAILROAD (01) | AL |
F03858 | (02) | AL |