Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 09794 | AL |
NPI | 1144244005 |
---|---|
Provider Name | Robert E Varner JR. |
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 | 26/07/2006 |
Last Update Date | 01/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000013124 | (05) | AL |
000013124 | BLUE CROSS (01) | AL |
009944915 | (05) | AL |
009969295 | (05) | AL |
02833564 | (05) | MS |
051520057 | BLUE CROSS (01) | AL |
051523982 | BLUE CROSS (01) | AL |
051547736 | BLUE CROSS (01) | AL |
100573 | (05) | AL |
33808 | HEALTHSPRING OF ALABAMA (01) | AK |
C75070 | VIVA (01) | AL |