Male or Other

Mr. Edgar T. Victoria MD

Surgery Physician in Gadsden, AL(View on Map)

Full Name

Mr. Edgar Tating Victoria MD

NPI Number

1023122421

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/19/2006

Specialties

(Taxonomies)

Code

208600000X
204C00000X

Primary Taxonomy

Yes
No

Licenses

State

Alabama
Alabama

License Number

7957
00007957

Contact
Information

Purpose

Mailing
Location

Address

P.O. BOX 97
1411 PIEDMONT CUTOFF

City

Gadsden
Gadsden

State

AL
AL

Postal Code

35902
35903

Country

US
US

Telephone Number

(256) 492-0131
(256) 492-0131

Identifiers

Identifier

143995 (COMPLEX)
51046490
51094372
630736845
143752 (WADLEY)
143836 (CLEBURNE)
143754 (ANNISTON)
100906
000046490
Unknown

Identifier State

AL
AL
AL
AL
AL
AL
AL
AL
AL
Unknown

Identifier Issuer

Unknown
BLUE CROSS
BLUECROSS
IRS TAXPER IDENTIFICATION
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/25/2013

Provider Address

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Lucian Newman M.D.

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Charles Newman M.D.

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Specialty: Surgery Physician (Primary)

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Ken Davenport M.D.

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Specialty: Surgery Physician (Primary)

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Alberto Echeverri M.D.,F.A.C.S.

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Specialty: Surgery Physician (Primary)

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Paul Nordness M.D.

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Specialty: Surgery Physician (Primary)

Male or Other

Larry May M.D.

Gadsden, AL

Specialty: Surgery Physician (Primary)

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John Campbell M.D.

Gadsden, AL

Specialties: Surgery Physician (Primary)Vascular Surgery Physician