Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | MD010619 | TN |
NPI | 1083616387 |
---|---|
Provider Name | Dr. David Glassford |
First Address | Nashville, TN 37203-5180 |
Second Address | Nashville, TN 37205-2013 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2005 |
Last Update Date | 16/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1528401 | (05) | TN |
4323860 | BCBST (01) | TN |
P01004450 | RR MEDICARE (01) | TN |