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Individual

ROBERT JEFFERY CRAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
12718
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000045012
BLUE CROSS
AL
05
000045012
AL
01
180035980
RAILROAD MEDICARE
AL
01
E20756
HEALTHSPRING OF ALABAMA
AL
Enumeration date
06/22/2006
Last updated
07/22/2011
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