# VIP MEDICAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124271283
- **Authorized official:** DR. RONALD M ROAN M.D. (PRESIDENT)
- **Authorized official phone:** (205) 427-0691

## Contact information

- **Practice address:** 608 STONE AVENUE, TALLADEGA, AL 35610-2217
- **Practice address phone:** (205) 427-0691
- **Mailing address:** 1012 IRVING RD, HOMEWOOD, AL 35209-3428
- **Mailing address phone:** (205) 427-0691

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/02/2008
- **Last updated:** 06/24/2011