Individual
DAVID REUEL NAVORSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
AAFMH, 650 JOEL DRIVE, FORT CAMPBELL, KY 42223-3563
(270) 956-0077
(865) 647-3369
Mailing address
550 TOWN CREEK RD E, SUITE 204, LENOIR CITY, TN 37772-6289
(865) 647-3360
(865) 647-3369
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO1166
TN
207R00000X
Internal Medicine Physician
1166
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100010271
PHP TNCARE
TN
05
—
3304732
—
TN
05
—
3704598
—
TN
01
—
3766580
CIGNA
TN
01
—
4108906
BCBS
TN
01
—
5082544
AETNA
TN
01
—
602004441
CARITEN
TN
01
—
P00233206
MEDICARE - RAILROAD
TN
01
—
TN0145
UHC/JD
TN
Enumeration date
03/08/2006
Last updated
08/07/2018
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