Individual
DENNY JAMES DARTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
28838
AL
2085R0202X
Diagnostic Radiology Physician
Primary
205344
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051117775
BCBS
AL
01
—
051117776
BCBS
AL
01
—
051117777
BCBS
AL
01
—
051117778
BCBS
AL
01
—
051117779
BCBS
AL
01
—
051117780
BCBS
AL
01
—
051117781
BCBS
AL
01
—
051117782
BCBS
AL
01
—
051117783
BCBS
AL
01
—
051117784
BCBS
AL
05
—
09386221
—
MS
05
—
128973
—
AL
05
—
128974
—
AL
05
—
129024
—
AL
05
—
129026
—
AL
05
—
129059
—
AL
05
—
129060
—
AL
05
—
129096
—
AL
05
—
129099
—
AL
05
—
129164
—
AL
05
—
129165
—
AL
Enumeration date
11/19/2007
Last updated
03/19/2018
Update your record
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