Individual
DAVID J RIZK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 W 9TH ST, JASPER, IN 47546
(812) 996-0188
Mailing address
PO BOX 1028, JASPER, IN 47547-1028
(812) 996-0188
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01072011A
IN
207Q00000X
Family Medicine Physician
43608
KY
208M00000X
Hospitalist Physician
Primary
01072011A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201129350
—
IN
05
—
7100082680
—
KY
Enumeration date
05/30/2008
Last updated
06/05/2018
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