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Individual
DAVID ENSLEY
Active
Individual
DAVID ENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. PC
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01052067A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000312814
ANTHEM
IN
05
—
200275530
—
IN
Enumeration date
07/24/2006
Last updated
05/10/2021
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