Individual
DANTE V. DE JESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
440 TAYLOR RD, SUITE 3380, MONTGOMERY, AL 36117-3588
(334) 213-6281
(334) 213-6288
Mailing address
440 TAYLOR RD, SUITE 3380, MONTGOMERY, AL 36117-3588
(334) 213-6281
(334) 213-6288
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
26777
AL
207Q00000X
Family Medicine Physician
26777
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051556282
—
AL
01
—
1326182486
HOSPITAL PHYSICIAN SERVICES OF CENTRAL ALABAMA
AL
Enumeration date
05/16/2006
Last updated
11/10/2008
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