Individual
DAVID C SPANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1265 UNION AVE, MEMPHIS, TN 38104-3415
(901) 725-5846
Mailing address
6060 PRIMACY PKWY, SUITE 241, MEMPHIS, TN 38119-5745
(901) 725-5846
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
39400
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09605078
—
MS
05
—
160377001
—
AR
05
—
207435702
—
MO
05
—
3331699
—
TN
01
—
4104211
BLUECROSS BLUESHIELD
TN
01
—
83550
BLUECROSS BLUESHIELD
AR
01
—
P00269245
MEDICARE RAILROAD
—
Enumeration date
05/23/2006
Last updated
12/21/2016
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