Individual
DR. RONALD M ROAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
608 STONE AVENUE, TALLADEGA, AL 35610-2217
(205) 979-5882
(205) 979-1248
Mailing address
1012 IRVING RD, HOMEWOOD, AL 35209-3428
(205) 427-0691
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
24176
AL
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
24176
AL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
24176
AL
2083A0100X
Aerospace Medicine Physician
24176
AL
208D00000X
General Practice Physician
24176
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009910243
—
AL
05
—
009910246
—
AL
05
—
009910247
—
AL
05
—
009910248
—
AL
05
—
128722
—
AL
01
—
511-15720
BC BS OF AL
AL
Enumeration date
02/01/2006
Last updated
06/24/2011
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