Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 22003 | AL |
NPI | 1033137518 |
---|---|
Provider Name | Dr. John William Dubay |
First Address | Tuscaloosa, AL 35401-2029 |
Second Address | Tuscaloosa, AL 35401-2029 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 07/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000056155 | (05) | AL |
H61235 | (02) | AL |