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Individual

DAVID A BRINK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1900 FAIRVIEW AVE, DOTHAN, AL 36301-3008
(334) 793-9511
(334) 794-0721
Mailing address
2015 ALEXANDER DR, DOTHAN, AL 36301-3003
(334) 671-1696
(334) 794-0721

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
17827
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000024253
AL
05
009931908
AL
05
009931909
AL
05
009931914
AL
Enumeration date
11/28/2005
Last updated
01/15/2010
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