Provider Demographics
NPI:1568479624
Name:TOUGER, MITCHEL SCOTT (MD)
Entity Type:Individual
Prefix:
First Name:MITCHEL
Middle Name:SCOTT
Last Name:TOUGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 530604
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35253-0604
Mailing Address - Country:US
Mailing Address - Phone:205-249-8732
Mailing Address - Fax:205-874-8333
Practice Address - Street 1:300 ROYAL TOWER DR
Practice Address - Street 2:
Practice Address - City:HOMEWOOD
Practice Address - State:AL
Practice Address - Zip Code:35209-6865
Practice Address - Country:US
Practice Address - Phone:205-874-1958
Practice Address - Fax:205-874-1943
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14272207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51518702OtherBCBS
C78894Medicare UPIN
AL051518702Medicare PIN