Individual
ROBIN RANER WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
26033
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009933586
—
AL
05
—
009935921
—
AL
05
—
009935922
—
AL
05
—
009940056
—
AL
05
—
03026528
—
MS
01
—
051531790
BLUE CROSS
AL
01
—
051531791
BLUE CROSS
AL
01
—
051531792
BLUE CROSS
AL
01
—
051537940
BLUE CROSS
AL
01
—
630649108
VIVA
AL
Enumeration date
05/17/2006
Last updated
06/15/2011
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