Individual
JOHN L ROBERSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
805 ST. VINCENT'S DRIVE, SUITE 420, BIRMINGHAM, AL 35205-2704
(205) 324-8511
(205) 324-0319
Mailing address
805 ST. VINCENT'S DRIVE, STE 420, BIRMINGHAM, AL 35205-1641
(205) 324-8511
(205) 314-8551
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
262
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051514505
BLUE CROSS
AL
05
—
RO890009900
—
AL
Enumeration date
11/16/2005
Last updated
02/06/2020
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