Individual
DR. DAVID DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3918
IA
207R00000X
Internal Medicine Physician
R7598
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699888081
—
IA
01
—
P00708563
RR MEDICARE
IA
Enumeration date
08/17/2006
Last updated
07/24/2009
Update your record
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