Basic Information
| Provider Information | |||||||||
| NPI: | 1487608881 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LOUDON | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | DAVID | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2018 BROOKWOOD MEDICAL CTR DR | ||||||||
| Address2: | SUITE 206 | ||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352096898 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2053971080 | ||||||||
| FaxNumber: | 2058707107 | ||||||||
| Practice Location | |||||||||
| Address1: | 1010 1ST ST N | ||||||||
| Address2: | SUITE 112 | ||||||||
| City: | ALABASTER | ||||||||
| State: | AL | ||||||||
| PostalCode: | 350078608 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2056631023 | ||||||||
| FaxNumber: | 2058027778 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/20/2006 | ||||||||
| LastUpdateDate: | 12/04/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0100X | 00023791 | AL | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
No ID Information.