Organization
SHRINERS HOSPITALS FOR CHILDREN
Active
Other names
Shriners Hospitals for Children Orthopedic Pro Services - Johnson City
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL R. ROMBERGER (ADMINISTRATOR)
(864) 271-3444
Entity
Organization
Contact information
Practice address
410 N STATE OF FRANKLIN RD, SUITE 130, JOHNSON CITY, TN 37604-6971
(864) 271-3444
(864) 271-4471
Mailing address
PO BOX 8500, LOCKBOX #7642, PHILADELPHIA, PA 19178-7642
(864) 271-3444
(864) 271-4471
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
02/13/2017
Last updated
02/27/2017
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