Individual provider · Type 1 NPI

Jason Glen Funderburk, MD

Vascular & Interventional Radiology Physician · Knoxville, TN

NPI number 1104883966 Active

Practice location

116 Concord Rd, Suite 500
Knoxville, TN 37934-2940

Call (865) 777-6880 Map

Specialties and licenses

TaxonomyCodeLicense
Vascular & Interventional Radiology Physician 2085R0204XME 93065 (FL)
Vascular & Interventional Radiology Physician Primary 2085R0204X47153 (TN)
Vascular & Interventional Radiology Physician 2085R0204X4301102162 (MI)

Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

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About NPI 1104883966

Jason Glen Funderburk, MD's National Provider Identifier is 1104883966, issued on Apr 27, 2006. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Knoxville, TN. The record was last updated on Apr 9, 2014.