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Organization

SURGICAL ONCOLOGY ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL S DUDRICK MD (PRESIDENT)
(865) 544-9422
Entity
Organization

Contact information

Practice address
9000 EXECUTIVE PARK DR, C200, KNOXVILLE, TN 37923-4685
(865) 670-6132
(865) 670-6188
Mailing address
1934 ALCOA HWY, STE 474, KNOXVILLE, TN 37920-1524
(865) 544-9422

Taxonomy

Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3704057
TN
Enumeration date
10/04/2006
Last updated
08/22/2020
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