Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | 43761 | WI |
Y | 207SG0201X | Clinical Genetics (M.D.) | MD.34482 | AL |
NPI | 1700837150 |
---|---|
Provider Name | Dr. David P Bick |
First Address | Huntsville, AL 35806-2922 |
Second Address | Huntsville, AL 35806-2922 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 14/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
008006261V | HUMANA (01) | |
F39837 | (02) |