Individual
DAVID DEAN THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4517 SOUTHLAKE PKWY, HOOVER, AL 35244-3280
(205) 985-4111
(205) 985-4326
Mailing address
4517 SOUTHLAKE PKWY, HOOVER, AL 35244-3280
(205) 985-4111
(205) 985-4326
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20215
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009998935
—
AL
05
—
051556563
—
AL
01
—
51000905
BLUE CROSS BLUE SHIELD
AL
01
—
51526323
BLUE CROSS/BLUE SHIELD
AL
01
—
51526364
BLUE CROSS/BLUE SHIELD
AL
Enumeration date
04/12/2006
Last updated
09/06/2023
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