Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 12571 | AL |
NPI | 1104869338 |
---|---|
Provider Name | Richard M Allman |
First Address | Birmingham, AL 35255-5310 |
Second Address | Birmingham, AL 35233 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 19/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000015965 | (05) | AL |
000015965 | BLUE CROSS (01) | AL |
020005716 | RAILROAD MEDICARE (01) | AL |
16139 | HEALTH SPRING OF ALABAMA (01) | AL |
C73003 | VIVA (01) | AL |