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Individual

DAVID B BIRNBAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
127 S RICHVIEW RD, CLARKSVILLE, TN 37043-5220
(931) 245-8182
(931) 245-8196
Mailing address
PO BOX 3799, CLARKSVILLE, TN 37043-3799
(931) 245-8182
(931) 245-8196

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
26686
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
180023507
RR MEDICARE
TN
05
3092073
TN
Enumeration date
11/02/2005
Last updated
06/01/2010
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