Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 20113 | AL |
NPI | 1194769448 |
---|---|
Provider Name | Robb Logan Romp |
First Address | Birmingham, AL 35255-5823 |
Second Address | Birmingham, AL 35233-1802 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 11/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00126326 | MISSISSIPPI MEDICAID (01) | AL |
2500332 | UHC (01) | AL |
51509851 | BC BS (01) | AL |
7808394 | AETNA (01) | AL |
9992860 | (05) | AL |
G43608 | (02) | |
G43608 | VIVA (01) |