Individual provider · NPI-1

Dr. Ronald David Agee, DPM

· Birmingham, AL

NPI number1407037955

StatusActive

Last updated in NPPESMar 9, 2009

Details

NPI: 1407037955
Entity type: Individual (NPI-1)
Name: Dr. Ronald David Agee
Credential: DPM
Sex: Male
Sole proprietor: Yes
Enumeration date: Nov 26, 2007
Last updated: Mar 9, 2009

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
213ES0131X		103	AL	Yes
213EP1101X	Podiatrist, Primary Podiatric Medicine	103	AL
213ER0200X	Podiatrist, Radiology	103	AL
213ES0000X	Podiatrist, Sports Medicine	103	AL

Practice location

1529 Bessemer Rd
Birmingham, AL 35208-4016

Phone 205-925-5272 · Fax 205-929-0170

Mailing address

1529 Bessemer Rd
Birmingham, AL 35208-4016

Phone 205-925-5272 · Fax 205-929-0170

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