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NPI Code Detail

MEDICARE: JAMES JURE MATIC MD

MEDICARE: JAMES JURE MATIC 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 Physician00017681AL
2207Q00000XFamily Medicine Physician17681AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15963165OTHERALAETNA
2051520969OTHERALBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811982556
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES JURE MATIC MD
Provider Business Mailing Address
First Line : PO BOX 11407
Second Line : BIRMINGHAM
City : BIRMINGHAM
State : AL
Zip : 35246-1061
Country : US
Telephone Number : 205-437-6098
Fax Number : 205-437-5998
Provider Business Practice Location Address
First Line : 900 DEER TRACE RD
Second Line : PELL CITY
City : PELL CITY
State : AL
Zip : 35125-6452
Country : US
Telephone Number : 205-814-2104
Fax Number : 205-814-2145
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2005
Last Update Date : 06/05/2008

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