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NPI Code Detail

MEDICARE: ALAN B CLAUNCH MD

MEDICARE:   ALAN B CLAUNCH  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician0101035993VA
2207P00000XEmergency Medicine PhysicianD0025832MD
3207P00000XEmergency Medicine PhysicianME96436FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
161401OTHERFLAMERIGROUP
25534764OTHERFLAETNA
358129OTHERFLBCBS

General Provider Information

NPI Number : 1144218223
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALAN B CLAUNCH MD
Provider Business Mailing Address
First Line : 636 DEL PRADO BLVD S
Second Line :
City : CAPE CORAL
State : FL
Zip : 33990-2668
Country : US
Telephone Number : 239-772-6513
Fax Number : 239-574-0269
Provider Business Practice Location Address
First Line : 636 DEL PRADO BLVD S
Second Line :
City : CAPE CORAL
State : FL
Zip : 33990-2668
Country : US
Telephone Number : 239-772-6513
Fax Number : 239-574-0269
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2005
Last Update Date : 01/14/2008

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Directions to “ ALAN B CLAUNCH MD” Practice Location

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