Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VX0201X | Gynecologic Oncologist | 27477 | MS |
N | 207VX0201X | Gynecologic Oncologist | 30897 | AL |
Y | 207VX0201X | Gynecologic Oncologist | 38148 | TN |
N | 207VX0201X | Gynecologic Oncologist | E-4079 | AR |
NPI | 1487611760 |
---|---|
Provider Name | Dr. David Bryan Engle |
First Address | Memphis, TN 38120-9446 |
Second Address | Memphis, TN 38120-2361 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2006 |
Last Update Date | 01/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I07465 | (02) |