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Individual

MR. DONALD M MONROE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1201 11TH AVE S, BIRMINGHAM, AL 35205-3423
(205) 930-7246
(205) 930-7256
Mailing address
PO BOX 55785, BIRMINGHAM, AL 35255-5785
(205) 930-7245
(205) 930-7256

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
052211
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051557604
AL
01
510-03652
BC BS OF AL
AL
01
P00314438
RAILROAD MEDICARE
AL
Enumeration date
01/31/2006
Last updated
07/01/2010
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