Individual
JACK DAVID DENVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 SOUTHLAKE PARK, SUITE 150, HOOVER, AL 35244-3352
(205) 874-9663
(205) 874-9667
Mailing address
1500 SOUTHLAKE PARK, SUITE 150, HOOVER, AL 35244-3352
(205) 874-9663
(205) 874-9667
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
00017495
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000085235
—
AL
01
—
051085235
BLUE CROSS BLUE SHIELD
AL
01
—
11492407
CAQH ID NUMBER
AL
01
—
609603500
DEPT OF LABOR
AL
Enumeration date
06/07/2006
Last updated
05/07/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us