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MR. JOHN TIPTON ROACH III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
701 PRINCETON AVE SW, BIRMINGHAM, AL 35211-1303
(205) 783-3000
Mailing address
216 MORGAN AVE, MOBILE, AL 36606-1833
(251) 500-0596

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
130110
AL

Other

Enumeration date
12/19/2019
Last updated
06/11/2024
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