Organization
DR. ROBERT W. EATON, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT W EATON DO (PHYSICIAN)
(205) 339-2499
Entity
Organization
Contact information
Practice address
5004 HIGHWAY 69 N, NORTHPORT, AL 35473-2039
(205) 339-2499
(205) 339-6422
Mailing address
5004 HIGHWAY 69 N, NORTHPORT, AL 35473-2039
(205) 339-2499
(205) 339-6422
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51515058
BLUE CROSS BLUE SHIELD
AL
Enumeration date
06/19/2006
Last updated
12/15/2009
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