Spence, David D

Spence, David D is an individual health care provider with primary practice located at 7545 Airways Blvd , Southaven MS 38671-5806. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery is his primary health care specialty. Spence, David D can be contacted via phone (901) 759-3100.

Contact Information

Primary practice address
7545 Airways Blvd Southaven MS 38671-5806
Phone: (901) 759-3100
Fax: (901) 759-3217
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 22222 Mississippi
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 22222 Mississippi
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X 22222 Mississippi

Profile Details

NPI number 1730395542
LBN Legal business name Spence, David D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Oct 6th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730395542 NPPES
Arkansas MEDICAID 195169001
Arkansas MEDICAID 1529784
Arkansas MEDICAID 05502928
Arkansas MEDICAID 100178662

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