Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 1825 | AL |
NPI | 1013071679 |
---|---|
Provider Name | Dr. David Cole Todd |
First Address | Hoover, AL 35244-3270 |
Second Address | Hoover, AL 35244-3270 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
51513862 | BCBS ALABAMA (01) | AL |
U85001 | (02) | AL |