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Individual
DR. BRICE B. DILLE
Active
Individual
DR. BRICE B. DILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
27661
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22N33N45
SC CONT. DRUG
SC
01
—
27661
SC MEDICAL LICENSE
SC
05
—
276613
—
SC
01
—
CJ6730
RAILROAD MEDICARE GROUP
SC
01
—
P00386245
RAILROAD MEDICARE INDIVID
SC
Enumeration date
08/15/2005
Last updated
03/07/2023
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