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Organization

WESTSIDE GASTROINTESTINAL SPECIALISTS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LIZ BLOSSER (SUPV)
(865) 539-5372
Entity
Organization

Contact information

Practice address
9330 PARK WEST BLVD, STE 506, KNOXVILLE, TN 37923
(865) 539-5372
(865) 539-5369
Mailing address
9330 PARK WEST BLVD, STE 506, KNOXVILLE, TN 37923
(865) 539-5372
(865) 539-5369

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD000021220
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3726442
TN
01
4087556
BCBS PROV #
TN
Enumeration date
12/27/2005
Last updated
06/05/2018
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