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Individual

ROBB LOGAN ROMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1700 6TH AVE S, SUITE 9100, BIRMINGHAM, AL 35233-1802
(205) 934-3460
Mailing address
PO BOX 55823, BIRMINGHAM, AL 35255-5823
(205) 934-4948
(205) 212-3002

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
20113
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00126326
MISSISSIPPI MEDICAID
AL
01
2500332
UHC
AL
01
51509851
BC BS
AL
01
7808394
AETNA
AL
05
9992860
AL
01
G43608
VIVA
Enumeration date
06/16/2006
Last updated
06/11/2020
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