Individual
CASEY ROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
833 PRINCETON AVENUE SW, PROFESSIONAL OFFICE BUILDING 3, SUITE 200-E, BIRMINGHAM, AL 35211
(205) 783-7694
Mailing address
809 OXMOOR RD, BIRMINGHAM, AL 35209-5233
(985) 237-0601
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
06/21/2023
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