Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 18587 | AL |
NPI | 1366487316 |
---|---|
Provider Name | Alice R Goepfert |
First Address | Birmingham, AL 35255-5310 |
Second Address | Birmingham, AL 35233 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 08/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000025511 | (05) | AL |
000025511 | BLUE CROSS (01) | AL |
000093755 | (05) | AL |
000093755 | BLUE CROSS (01) | AL |
009936045 | (05) | AL |
009948485 | (05) | AL |
009948495 | (05) | AL |
009948505 | (05) | AL |
009948515 | (05) | AL |
009948525 | (05) | AL |
009948535 | (05) | AL |
009948545 | (05) | AL |
009970345 | (05) | AL |
009970355 | (05) | AL |
009970365 | (05) | AL |
051517987 | BLUE CROSS (01) | AL |
051521750 | BLUE CROSS (01) | AL |
051524351 | BLUE CROSS (01) | AL |
051524353 | BLUE CROSS (01) | AL |
051524354 | BLUE CROSS (01) | AL |