Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0117X | Orthopaedic Spine Surgeon | 036140815 | IL |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 27893 | MS |
N | 207XS0117X | Orthopaedic Spine Surgeon | 4301107095 | MI |
N | 207XS0117X | Orthopaedic Spine Surgeon | ME129558 | FL |
NPI | 1154645026 |
---|---|
Provider Name | Dr. David Vecchione |
First Address | Tupelo, MS 38801-6548 |
Second Address | Tupelo, MS 38801-6548 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2010 |
Last Update Date | 12/01/2021 |