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NPI Code Detail

MEDICARE: DR. DAVID HS IANSMITH MD PHD

MEDICARE: DR. DAVID HS IANSMITH MD PHD
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
1207RC0000XCardiovascular Disease PhysicianTN15038TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1110666001OTHERARMCD
23011339OTHERTNMCD

General Provider Information

NPI Number : 1477585768
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID HS IANSMITH MD PHD
Provider Business Mailing Address
First Line : 6799 GREAT OAKS RD
Second Line : SUITE 100
City : MEMPHIS
State : TN
Zip : 38138-2588
Country : US
Telephone Number : 901-747-3330
Fax Number : 901-751-9694
Provider Business Practice Location Address
First Line : 6799 GREAT OAKS RD
Second Line : SUITE 100
City : MEMPHIS
State : TN
Zip : 38138-2588
Country : US
Telephone Number : 901-747-3330
Fax Number : 901-751-9694
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 03/21/2014

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