Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 25167 | AL |
NPI | 1306874409 |
---|---|
Provider Name | Bruce R Korf |
First Address | Birmingham, AL 35255-5310 |
Second Address | Birmingham, AL 35233-2032 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 12/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009915085 | (05) | AL |
009949435 | (05) | AL |
051520261 | BLUE CROSS (01) | AL |
051553195 | BLUE CROSS (01) | AL |
A57707 | HEALTHSPRING OF ALABAMA (01) | AL |
P00653205 | RAILROAD MEDICARE (01) | AL |