# DAVID SPENCER MANGUM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1982993432
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | C1-0013152 | DE | — |
| 208000000X | Pediatrics Physician | 52359 | TN | — |
| 2080P0207X | Pediatric Hematology & Oncology Physician | 8406729-1205 | UT | Yes |
| 2080P0207X | Pediatric Hematology & Oncology Physician | C1-0013152 | DE | — |

## Other

- **Enumeration date:** 04/06/2011
- **Last updated:** 08/12/2022