Individual
SAMUEL TIMOTHY MCILRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 20TH ST, SUITE 606, KNOXVILLE, TN 37916-1809
(865) 546-8040
Mailing address
501 20TH ST, SUITE 606, KNOXVILLE, TN 37916-1809
(865) 546-8040
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
43462
TN
207P00000X
Emergency Medicine Physician
35080
AZ
Other
Enumeration date
07/18/2006
Last updated
07/11/2011
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