Organization · Type 2 NPI

Mountain States Health Alliance

Hematology & Oncology Physician · Johnson City, TN

NPI number 1093580466 Active

Practice location

1 Professional Park Dr Ste 21
Johnson City, TN 37604-6909

Call (423) 232-6900 Map

Fax (423) 232-6903

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003XNone listed

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

14 other providers at this address

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About NPI 1093580466

Mountain States Health Alliance's National Provider Identifier is 1093580466, issued on Nov 16, 2023. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Johnson City, TN. The record was last updated on Nov 16, 2023.