Individual
DR. BANCROFT OQUINN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1405 WEST BADDOUR PARKWAY, SUITE 106, LEBANON, TN 37087
(615) 444-6500
(615) 449-1306
Mailing address
1405 BADDOUR PARKWAY, SUITE 106, LEBANON, TN 37087
(615) 444-6500
(615) 449-1306
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
18417
TN
207Y00000X
Otolaryngology Physician
Primary
MD0000018417
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3029464
—
TN
01
—
4066065
AETNA
—
01
—
73029
BLUUE CROSS
—
Enumeration date
07/14/2006
Last updated
08/22/2024
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