Basic Information
Provider Information
NPI: 1003132259
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RICHTER
FirstName: ROBERT
MiddleName: PATRICK
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1600 5TH AVE S # CPPI102
Address2:  
City: BIRMINGHAM
State: AL
PostalCode: 352331700
CountryCode: US
TelephoneNumber: 2056389387
FaxNumber:  
Practice Location
Address1: 1600 7TH AVE S
Address2:  
City: BIRMINGHAM
State: AL
PostalCode: 352331711
CountryCode: US
TelephoneNumber: 2056389100
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/13/2010
LastUpdateDate: 06/11/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/11/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080P0203XMD.32464ALY Allopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
208000000XMD.32464ALN Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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