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Organization
MOUNTAIN STATES HEALTH ALLIANCE
Active
Organization
MOUNTAIN STATES HEALTH ALLIANCE
Active
Other names
Ballad Health Cancer Care at Johnson City
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA TARTE (ENROLLMENT SUPERVISOR)
(423) 302-6565
Entity
Organization
Contact information
Practice address
1 PROFESSIONAL PARK DR STE 21, JOHNSON CITY, TN 37604-6909
(423) 232-6900
(423) 232-6903
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
NULL
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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