Provider Demographics
NPI:1245233667
Name:CALL, DAVID CLYDE (DO)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:CLYDE
Last Name:CALL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:850 PETER BRYCE BLVD
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35401-7419
Mailing Address - Country:US
Mailing Address - Phone:205-348-1770
Mailing Address - Fax:205-348-1772
Practice Address - Street 1:13530 HIGHWAY 96
Practice Address - Street 2:
Practice Address - City:MILLPORT
Practice Address - State:AL
Practice Address - Zip Code:35576-2522
Practice Address - Country:US
Practice Address - Phone:205-662-3207
Practice Address - Fax:205-333-4660
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ALDO.1009207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51150389OtherBLUE CROSS BLUE SHEILD OF ALABAMA
AL161881Medicaid
AL102I113669Medicare PIN