Individual
DR. ROBERT RANDOLPH PAGE III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1912 AL HIGHWAY 157, CULLMAN, AL 35058-0609
(256) 737-2000
Mailing address
14050 NW 14TH ST, SUITE 190, SUNRISE, FL 33323-2865
(800) 424-3672
(954) 377-3042
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
00021021
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51001073PAG
BLUE SHIELD
AL
01
—
P00204506
RAILROAD MEDICARE
AL
Enumeration date
06/12/2006
Last updated
07/08/2007
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