Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RP1001X | Pulmonary Disease | 00005953 | AL |
Y | 207RS0012X | Sleep Medicine | 00005953 | AL |
NPI | 1023082450 |
---|---|
Provider Name | Dr. Robert Carl Doekel JR. |
First Address | Birmingham, AL 35213-1966 |
Second Address | Birmingham, AL 35213-1966 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2006 |
Last Update Date | 20/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000084863 | (05) | AL |
290004317 | PALMETTO GBA-RAILRAOD MCR (01) | AL |
51084863 | BCBS (01) | AL |
C75965 | (02) | AL |