Doctor Name: | DAVID JOSEPH BICKLER |
NPI Number: | 1265408975 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 34784 |
Business Practice Address: | 6553 E Baywood Ave Suite 103 Mesa, AZ - 85206 |
Business Phone Number: | 4809856200 |
Business Fax Number: | 4809852951 |
Mailing Address: | Po Box 32950, PHOENIX |
State: | AZ |
Postal Code: | 85015 |
Phone Number: | 6024331822 |
Fax Number: | 6022467060 |
NPI Enumeration Date: | 02/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 34784 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |