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Individual

DR. PHILLIP JAY SEIFERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
900 E OAK HILL AVE, KNOXVILLE, TN 37917-4522
(865) 545-8000
Mailing address
P O BOX 634706, CINCINNATI, OH 45263-4706

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26622
TN
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
26622
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3034322
BLUE CROSS
TN
05
3093865
TN
01
930027692
RAILROAD MEDICARE
TN
Enumeration date
06/05/2006
Last updated
06/20/2019
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