Individual
DR. THOMAS EDWIN BISHOFBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
923 E CENTRAL AVE, LA FOLLETTE, TN 37766-2768
(423) 907-1200
(865) 693-4064
Mailing address
1431 CENTERPOINT BLVD, SUITE 100, KNOXVILLE, TN 37932-1984
(800) 577-7707
(865) 690-7868
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
41757
TN
208600000X
Surgery Physician
41757
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41757
TN LICENSE
TN
Enumeration date
12/05/2006
Last updated
07/16/2007
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