Individual
DAVID RYAN AMBROSETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1200 PINEVILLE RD, CHATTANOOGA, TN 37405-2645
(423) 778-3348
(423) 778-3349
Mailing address
1200 PINEVILLE RD, CHATTANOOGA, TN 37405-2645
(423) 778-3348
(423) 778-3349
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3576
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3576
MEDICAL LICENSE
TN
Enumeration date
04/13/2016
Last updated
07/09/2019
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