Individual
DR. VICTORIA CALCOTE DEBARDELEBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35233-1900
(205) 934-3166
Mailing address
21 EASTBROOKE ST, JACKSON, MS 39216-4714
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
T-4049
MS
2085R0202X
Diagnostic Radiology Physician
Primary
43729
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2020
Last updated
02/05/2025
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