Individual
DAVID P ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 MED TECH PKWY, JOHNSON CITY, TN 37604
(423) 794-5500
Mailing address
301 MED TECH PKWY, JOHNSON CITY, TN 37604
(423) 794-5500
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
7106
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3173970
—
TN
Enumeration date
06/15/2005
Last updated
09/26/2008
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