Individual
ROBERT D VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20083
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00036968
—
AL
01
—
00115147
MISSISSIPPI MEDICAID
AL
01
—
010033CE27335
SECTION 1011
AL
01
—
33014
HEALTHSPRING
AL
01
—
36968
BCBS
AL
Enumeration date
08/09/2006
Last updated
07/08/2007
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