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Organization
DAVID J BORCICKY PC
Active
Organization
DAVID J BORCICKY PC
Active
Other names
David Borcicky DPM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JOHN BORCICKY DPM (OWNER)
(251) 476-3338
Entity
Organization
Contact information
Practice address
2152 AIRPORT BLVD, SUITE 106, MOBILE, AL 36606-1751
(251) 476-3338
(251) 473-4047
Mailing address
2152 AIRPORT BLVD, SUITE 106, MOBILE, AL 36606-1751
(251) 476-3338
(251) 473-4047
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
77
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129443828
TRICARE HUMANA
—
01
—
480033421
RAILROAD MEDICARE
—
Enumeration date
08/13/2006
Last updated
11/13/2008
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