Individual
DR. ROBERT F FAVRET JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 MORPHY AVE, FAIRHOPE, AL 36532-1812
(251) 928-7205
(251) 460-2846
Mailing address
PO BOX 9369, MOBILE, AL 36691-0369
(251) 460-0326
(251) 460-2846
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
23227
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159837
—
AL
01
—
51095177
BCBS OF ALA
AL
01
—
51145889
BCBS
AL
Enumeration date
11/16/2005
Last updated
10/27/2016
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