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Individual

RIC A KOLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1 HOSPITAL DR SW, HUNTSVILLE, AL 35801-6455
(256) 880-4177
(205) 880-4507
Mailing address
8678 EDGEHILL DR SE, HUNTSVILLE, AL 35802-3786
(256) 880-4711
(205) 880-4507

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO-554
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
515-27327
BC BS OF AL
AL
Enumeration date
11/16/2006
Last updated
07/08/2007
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