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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