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NPI Code Detail

MEDICARE: JIRI DANCZIK MD

MEDICARE: JIRI DANCZIK MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician2001-166NM

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2A14714BOTHERMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700841681
Entity Type Code : Individual
Provider Name (Legal Business Name) : JIRI DANCZIK MD
Provider Business Mailing Address
First Line : 4040 MEMORIAL PKWY SW
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35802-4364
Country : US
Telephone Number : 256-864-3356
Fax Number :
Provider Business Practice Location Address
First Line : 4040 MEMORIAL PKWY SW
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35802-4364
Country : US
Telephone Number : 256-864-3356
Fax Number : 256-705-6477
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2006
Last Update Date : 03/07/2023

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Directions to “ JIRI DANCZIK MD” Practice Location

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