Individual
DR. JOHN FRANK DISHUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
535 JACK WARNER PKWY NE, SUITE C, TUSCALOOSA, AL 35404-5751
(205) 553-2252
(205) 553-3326
Mailing address
535 JACK WARNER PKWY NE, SUITE C, TUSCALOOSA, AL 35404-5751
(205) 553-2252
(205) 553-3326
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
12867
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51083745
BC/BS ALABAMA
AL
05
—
83745
—
AL
Enumeration date
11/10/2005
Last updated
10/13/2011
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