Individual
DAVID ALLAN ALDRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2000 6TH AVE S, BIRMINGHAM, AL 35233-2110
(205) 801-8000
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
(205) 297-9411
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA691
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01133512
—
MS
01
—
102I973042
MEDICARE
—
05
—
126152
—
AL
01
—
51112939
BLUE CROSS & BLUE SHIELD
AL
01
—
51112940
BLUE CROSS & BLUE SHIELD
AL
01
—
51112941
BLUE CROSS & BLUE SHIELD
AL
Enumeration date
11/12/2010
Last updated
04/19/2011
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