Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 62850 | TN |
N | 208600000X | Surgeon | 62850 | TN |
Y | 2086X0206X | Surgical Oncologist | 62850 | TN |
NPI | 1326397761 |
---|---|
Provider Name | David Roife |
First Address | Tuscaloosa, AL 35406-1800 |
Second Address | Knoxville, TN 37916-2435 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2012 |
Last Update Date | 01/06/2021 |