# BLUESTONE PHYSICIAN SERVICES TN PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841007754
- **Authorized official:** BRANDON CLARK (CEO)
- **Authorized official phone:** (480) 518-1333

## Contact information

- **Practice address:** 2908 POSTON AVE, NASHVILLE, TN 37203-1309
- **Practice address phone:** (651) 342-1039
- **Practice address fax:** (651) 342-1428
- **Mailing address:** 270 MAIN ST N STE 300, STILLWATER, MN 55082-6788
- **Mailing address phone:** (651) 342-1039
- **Mailing address fax:** (651) 342-1428

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/13/2024
- **Last updated:** 08/07/2026