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ALFRED ESTIN AVERY — OIG Excluded Provider (BILLINGS, MT, 1128b4)

ALFRED ESTIN AVERY — OIG Excluded Provider (BILLINGS, MT, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: ALFRED ESTIN AVERY; Type: Individual; Provider category: MEDICAL PRACTICE, MD.

NameALFRED ESTIN AVERY
TypeIndividual
Provider categoryMEDICAL PRACTICE, MD
SpecialtyNEUROLOGY
NPI1063587426
CityBILLINGS
StateMT
ZIP59101
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date2004-06-17
SourceHHS-OIG LEIE

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