Doctor Name: | DR. ALEX DIBONA |
NPI Number: | 1215017827 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | TL29245 |
Business Practice Address: | 59 Alison Dr Ste 1 Alexander City, AL - 350104411 |
Business Phone Number: | 2563298331 |
Business Fax Number: | |
Mailing Address: | 59 Alison Dr Ste 1, ALEXANDER CITY |
State: | AL |
Postal Code: | 350104411 |
Phone Number: | 2563298331 |
Fax Number: | |
NPI Enumeration Date: | 10/17/2006 |
NPI Last Update Date: | 08/03/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0204X |
License Number: | TL29245 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Vascular & Interventional Radiology |
Taxonomy Definition: | A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |