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Individual

RICHARD C CROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
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
18208
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00119252
MISSISSIPPI MEDICAID
MS
01
010033CG54470
SECTION 1011
AL
01
050057361
RAILROAD MEDICARE
AL
Enumeration date
06/13/2006
Last updated
06/28/2023
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