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Individual

MRS. ROXANNE RENEE TRAVELUTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
513 BROOKWOOD BLVD STE 50, BIRMINGHAM, AL 35209
(205) 877-2761
(205) 802-6831
Mailing address
513 BROOKWOOD BLVD STE 50, BIRMINGHAM, AL 35209
(205) 877-2761
(205) 802-6831

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14830
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33872
AL
Enumeration date
12/09/2006
Last updated
02/06/2023
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