Provider Demographics
NPI:1942265400
Name:DEBOER, DAVID K (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:K
Last Name:DEBOER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2400 PATTERSON ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1562
Mailing Address - Country:US
Mailing Address - Phone:615-342-0038
Mailing Address - Fax:615-324-1752
Practice Address - Street 1:2400 PATTERSON ST
Practice Address - Street 2:SUITE 100
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1562
Practice Address - Country:US
Practice Address - Phone:615-342-0038
Practice Address - Fax:615-324-1752
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
TN27059207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
3091645OtherBLUE CROSS/BLUE SHIELD
BD4530083OtherDEA
3091645OtherBLUE CROSS/BLUE SHIELD
BD4530083OtherDEA