Individual
DR. DANIEL MARTIN MINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 MEDICAL CENTER DR SW, FORT PAYNE, AL 35968-3421
(256) 997-2820
(256) 997-2890
Mailing address
415 MEDICAL CENTER DR SW, FORT PAYNE, AL 35968-3421
(256) 997-2820
(256) 997-2890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00010888
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051533800
—
AL
05
—
051534799
—
AL
01
—
515-33800
BCBS
AL
01
—
515-34799
BCBS
AL
Enumeration date
05/23/2006
Last updated
03/20/2012
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