Individual
DR. DAVID THORNTON TRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
188 HOSPITAL DR, SUITE 100, FAIRHOPE, AL 36532-2043
(251) 990-9500
(251) 990-9501
Mailing address
6701 AIRPORT BLVD, SUITE D-330, MOBILE, AL 36608-6705
(251) 607-9797
(251) 607-9761
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
00014278
AL
207RI0011X
Interventional Cardiology Physician
Primary
00014278
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018880
—
MS
05
—
051503293
—
AL
01
—
51503293
BLUE CROSS BLUE SHIELD
AL
Enumeration date
06/07/2006
Last updated
04/28/2015
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