Organization
UNIVERSITY ORTHOPEDIC CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN N DEGNAN (OWNER)
(865) 521-7662
Entity
Organization
Contact information
Practice address
501 19TH ST, SUITE 601, KNOXVILLE, TN 37916-1854
(865) 521-7662
(865) 541-2895
Mailing address
501 19TH ST, SUITE 601, KNOXVILLE, TN 37916-1854
(865) 521-7662
(865) 541-2895
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215106158
NPI
TN
Enumeration date
08/19/2016
Last updated
08/19/2016
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