Individual
ROSS M VANDER NOOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 19TH ST S, OHB 251, BIRMINGHAM, AL 35249-1900
(205) 975-7387
Mailing address
619 19TH ST S, OHB 251, BIRMINGHAM, AL 35249-1900
(205) 975-7387
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
127063
NC
207P00000X
Emergency Medicine Physician
28863
AL
207P00000X
Emergency Medicine Physician
Primary
MD.28863
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103334
—
AL
05
—
111042
—
AL
01
—
1144350349
TRICARE SOUTH
AL
01
—
515-92504
BCBS
AL
Enumeration date
03/06/2007
Last updated
02/01/2024
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