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NPI Code Detail

MEDICARE: DR. ROSS EDWARD BUNCH MD

MEDICARE:  DR. ROSS EDWARD BUNCH  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208200000XPlastic Surgery Physician19040AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598728925
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROSS EDWARD BUNCH MD
Provider Business Mailing Address
First Line : 1847 COMMONS NORTH DR
Second Line : SUITE A
City : TUSCALOOSA
State : AL
Zip : 35406-3700
Country : US
Telephone Number : 205-349-0049
Fax Number : 205-345-1684
Provider Business Practice Location Address
First Line : 1847 COMMONS NORTH DR
Second Line : SUITE A
City : TUSCALOOSA
State : AL
Zip : 35406-3700
Country : US
Telephone Number : 205-349-0049
Fax Number : 205-345-1684
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2006
Last Update Date : 07/31/2024

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