Individual
TANDER LEE SIMBERLOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3 PROFESSIONAL PARK DR STE 31, JOHNSON CITY, TN 37604-6529
(423) 424-3570
(423) 631-0544
Mailing address
3 PROFESSIONAL PARK DR STE 31, JOHNSON CITY, TN 37604-6529
(423) 434-3570
(423) 631-0544
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
71817
TN
207R00000X
Internal Medicine Physician
Primary
CMD19197
RI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
71817
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2020
Last updated
11/28/2024
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