Healthcare Provider Details

I. General information

NPI: 1326397761
Provider Name (Legal Business Name): DAVID ROIFE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2012
Last Update Date: 06/01/2021
Certification Date: 06/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1819 CLINCH AVE STE 206
KNOXVILLE TN
37916-2435
US

IV. Provider business mailing address

208 MCFARLAND CIR N STE 200
TUSCALOOSA AL
35406-1800
US

V. Phone/Fax

Practice location:
  • Phone: 865-522-2949
  • Fax:
Mailing address:
  • Phone: 205-343-0931
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number62850
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number62850
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: