Individual
DR. DAVID MARC MIRVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5676 REDDING AVE, MEMPHIS, TN 38120-1848
(901) 767-3848
Mailing address
5676 REDDING AVE, MEMPHIS, TN 38120-1848
(901) 767-3848
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD9534
TN
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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