Individual
DR. STEVEN JOHN BARDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1612 SAINT PETERSBURG RD, KNOXVILLE, TN 37922-9450
(586) 255-9747
Mailing address
1612 SAINT PETERSBURG RD, KNOXVILLE, TN 37922-9450
(586) 255-9747
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5101016124
MI
207P00000X
Emergency Medicine Physician
Primary
DO0000002066
TN
Other
Enumeration date
09/28/2006
Last updated
03/04/2013
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