# ALABAMA COLON & RECTAL INSTITUTE, P.C.

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

## Provider details

- **NPI number:** 1659157113
- **Authorized official:** JON ROSSER (PRESIDENT, PHYSICIAN)
- **Authorized official phone:** (205) 458-5000

## Contact information

- **Practice address:** 1317 4TH AVENUE SOUTH, BIRMINGHAM, AL 35233
- **Practice address phone:** (205) 458-5000
- **Practice address fax:** (844) 692-0014
- **Mailing address:** 1317 4TH AVENUE SOUTH, BIRMINGHAM, AL 35233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208C00000X | Colon & Rectal Surgery Physician | — | NULL | Yes |
| 208C00000X | Colon & Rectal Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/31/2023
- **Last updated:** 08/31/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1588721773 | BLUE CROSS BLUE SHIELD | AL |
