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Individual

JOSHUA D. IVKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
513 BROOKWOOD BLVD, SUITE 50, BIRMINGHAM, AL 35209-6862
(205) 877-2761
(205) 877-2399
Mailing address
513 BROOKWOOD BLVD, SUITE 50, BIRMINGHAM, AL 35209-6862
(205) 877-2761
(205) 877-2399

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
24435
AL
207R00000X
Internal Medicine Physician
Primary
24435
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
H78599
VIVA
AL
01
P00436878
MEDICARE RAILROAD
AL
Enumeration date
06/06/2006
Last updated
05/22/2008
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