Individual
SAMUEL RAY MARCROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-2803
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
34345
AL
2085R0001X
Radiation Oncology Physician
Primary
MD.34345
AL
Other
Enumeration date
05/20/2014
Last updated
02/01/2024
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