Individual
ROBERT VICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
809 UNIVERSITY BLVD E, TUSCALOOSA, AL 35401-2029
(205) 759-7111
Mailing address
3906 38TH AVE, NORTHPORT, AL 35473-2408
(541) 740-7011
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
1102286
AL
363LF0000X
Family Nurse Practitioner
Primary
1-102286
AL
Other
Enumeration date
02/06/2023
Last updated
08/27/2024
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