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Organization
VIP MEDICAL SERVICES
Active
Organization
VIP MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD M ROAN M.D. (PRESIDENT)
(205) 427-0691
Entity
Organization
Contact information
Practice address
608 STONE AVENUE, TALLADEGA, AL 35610-2217
(205) 427-0691
Mailing address
1012 IRVING RD, HOMEWOOD, AL 35209-3428
(205) 427-0691
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
—
NULL
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
11/02/2008
Last updated
06/24/2011
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