Individual
DAVID D SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7545 AIRWAYS BLVD, SOUTHAVEN, MS 38671-5806
(901) 759-3100
(901) 759-3217
Mailing address
1400 S GERMANTOWN RD, GERMANTOWN, TN 38138-2205
(901) 759-3100
(901) 759-3196
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
22222
MS
207X00000X
Orthopaedic Surgery Physician
22222
MS
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
22222
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05502928
—
MS
05
—
100178662
—
MS
05
—
1529784
—
TN
05
—
195169001
—
AR
Enumeration date
05/16/2007
Last updated
10/06/2022
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