Individual
DR. DONALD O. EZUTEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1436 W MAIN ST, LEBANON, TN 37087-1323
(615) 965-6108
(877) 504-1444
Mailing address
1436 W MAIN ST, LEBANON, TN 37087-1323
(615) 965-6108
(877) 504-1444
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40016
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3334191
—
TN
Enumeration date
02/12/2007
Last updated
04/21/2026
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