Organization
MEDICAL PARK OBGYN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD A ROH MD (PHYSICIAN OWNER)
(251) 928-1222
Entity
Organization
Contact information
Practice address
150 SOUTH INGLESIDE AVE, STE 6, FAIRHOPE, AL 36532
(251) 928-1222
(251) 928-2398
Mailing address
PO BOX 1045, FAIRHOPE, AL 36533
(251) 928-1222
(251) 928-2398
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528401340
—
AL
Enumeration date
06/10/2006
Last updated
07/09/2014
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