Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | TRN10141 | FL |
Y | 207VX0201X | Gynecologic Oncologist | 0101255673 | VA |
NPI | 1548335417 |
---|---|
Provider Name | Dr. David Alberto Iglesias |
First Address | Roanoke, VA 24016-4962 |
Second Address | Roanoke, VA 24016-4962 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/11/2006 |
Last Update Date | 10/12/2020 |