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NPI Code Detail

MEDICARE: DR. RALPH H EWING JR. M.D.

MEDICARE: DR. RALPH H EWING JR. M.D.
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
12085R0202XDiagnostic Radiology Physician9383AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
151095647OTHERALBCBS

General Provider Information

NPI Number : 1235111964
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RALPH H EWING JR. M.D.
Provider Business Mailing Address
First Line : PO BOX 7866
Second Line :
City : MOBILE
State : AL
Zip : 36670-0866
Country : US
Telephone Number : 251-949-3513
Fax Number : 251-476-5460
Provider Business Practice Location Address
First Line : 1613 N MCKENZIE ST
Second Line :
City : FOLEY
State : AL
Zip : 36535-2247
Country : US
Telephone Number : 251-949-3513
Fax Number : 251-476-5460
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2005
Last Update Date : 08/27/2007

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