Individual
DR. ROBERT DAVID PONDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 N WEISGARBER RD, SUITE 200, KNOXVILLE, TN 37909-2706
(865) 584-8588
(865) 584-3364
Mailing address
6701 BAUM DR, SUITE 140, KNOXVILLE, TN 37919-7360
(865) 584-5727
(865) 450-9904
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD24382
TN
207K00000X
Allergy & Immunology Physician
Primary
24382
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3527
GROUP MEDICARE PIN
KY
Enumeration date
09/14/2005
Last updated
02/24/2012
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