Organization
SPECIALTY ORTHOPEDICS P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD L ENNIS M.D. (PHYSICIAN)
(901) 682-9161
Entity
Organization
Contact information
Practice address
5210 POPLAR AVE, SUITE 200, MEMPHIS, TN 38119-3515
(901) 682-9161
(901) 767-9584
Mailing address
5210 POPLAR AVE, SUITE 200, MEMPHIS, TN 38119-3515
(901) 682-9161
(901) 767-9584
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
7341
TN
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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