Individual
MR. ROSS E GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 TUSCALOOSA AVENUE SW, BIRMINGHAM, AL 35211-1486
(205) 780-9655
(205) 780-9623
Mailing address
401 TUSCALOOSA AVENUE SW, BIRMINGHAM, AL 35211-1486
(205) 780-9655
(205) 780-9623
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
00011281
AL
207Y00000X
Otolaryngology Physician
Primary
11281
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000013673
—
AL
Enumeration date
10/20/2005
Last updated
10/08/2019
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