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Individual

JACK A DIPALMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
75 S UNIVERSITY BLVD, UCOM 6000 B, MOBILE, AL 36688-0002
(251) 660-5555
(251) 660-5559
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 660-5555
(251) 660-5559

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
13376
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000018497
AL
05
00121712
MS
05
255601400
FL
01
29-10129
UNITED HEALTH CARE
AL
01
51018497
BLUE CROSS
AL
Enumeration date
06/02/2006
Last updated
05/11/2015
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