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Individual

DAVID STREET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1601 23RD AVE S, SUITE 3050, NASHVILLE, TN 37212-3182
(615) 327-7130
(615) 322-2076
Mailing address
1601 23RD AVE S, SUITE 3050, NASHVILLE, TN 37212-3182
(615) 327-7130
(615) 322-2076

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
34743
TN
2084F0202X
Forensic Psychiatry Physician
34743
TN
2084P0800X
Psychiatry Physician
34743
TN
2084P0800X
Psychiatry Physician
Primary
MD050768L
PA

Other

Enumeration date
01/04/2007
Last updated
10/05/2021
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