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Individual

DR. RODNEY ALLEN SIRK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
341 GREENO RD N, FAIRHOPE, AL 36532-2979
(334) 618-2237
Mailing address
341 GREENO RD N, FAIRHOPE, AL 36532-2979
(334) 618-2237

Taxonomy

Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
30273
AL
207Q00000X
Family Medicine Physician
Primary
30273
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
511-06258
BLUE CROSS BLUE SHIELD
AL
Enumeration date
03/27/2006
Last updated
08/23/2021
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