Individual
RONALD E BOUSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
810 SAINT VINCENTS DR, ST. VINCERT'S HEALTH SYSTEM, BIRMINGHAM, AL 35205-1601
(205) 930-2346
Mailing address
810 ST. VINCENT'S DRIVE, ST. VINCENT'S HEALTH SYSTEM, BIRMINGHAM, AL 35205
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
30596
AL
207Q00000X
Family Medicine Physician
Primary
MD00012865
WA
Other
Enumeration date
06/30/2006
Last updated
01/03/2014
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