Individual
DR. ROBERT L ROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24980 STATE ST, PO DRAWER 519, ELBERTA, AL 36530-2573
(251) 986-7301
(251) 986-5927
Mailing address
24980 STATE ST, PO DRAWER 519, ELBERTA, AL 36530-2573
(251) 986-7301
(251) 986-5927
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27758
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051558395
—
AL
01
—
51004677
BCBS-AL
AL
01
—
5138245
AETNA
AL
01
—
575408
UNITED HEALTHCARE
AL
01
—
C71285
HEALTHSPRINGS OF ALABAMA
AL
01
—
P00365043
RAILROAD MEDICARE PROV#
AL
Enumeration date
08/22/2006
Last updated
02/20/2020
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