Individual
VICTOR S DREICER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4300 W MAIN ST STE 21, DOTHAN, AL 36305-1058
(334) 699-7900
(334) 944-7040
Mailing address
PO BOX 6599, DOTHAN, AL 36302-1654
(334) 699-7900
(334) 944-7040
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
22952
AZ
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
36316
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002298
MEDICARE PTAN
KS
05
—
17887
—
AZ
05
—
201109650A
—
KS
Enumeration date
02/15/2006
Last updated
03/03/2021
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