Organization
KNOXVILLE PEDIATRIC OPHTHALMOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH F STOFFLE (OFFICE ADMIN)
(865) 521-7998
Entity
Organization
Contact information
Practice address
2100 W CLINCH AVE, SUITE 400 KOPPEL PLAZA, KNOXVILLE, TN 37916-2219
(865) 521-7998
(865) 521-7405
Mailing address
2100 W CLINCH AVE, SUITE 400 KOPPEL PLAZA, KNOXVILLE, TN 37916-2219
(865) 521-7998
(865) 521-7405
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
14247
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3196142
—
TN
Enumeration date
09/15/2010
Last updated
08/29/2012
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