Individual
ALEXANDER DAVID PINC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 ILLINI DR, SILVIS, IL 61282-1804
(309) 792-9363
Mailing address
2725 8TH STREET CT, MOLINE, IL 61265-5174
(309) 792-7056
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-104415
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
072074
HEALTH ALLIANCE
—
01
—
930110724
RAILROAD MEDICARE
—
01
—
98651
BLUE CROSS BLUE SHIELD
IA
01
—
H38603
BLUE CROSS BLUE SHIELD
IL
01
—
H38603
TRICARE
—
Enumeration date
05/22/2006
Last updated
03/09/2009
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