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Individual

DR. JOSEPH CHARLES DEFIORE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
260 FORT SANDERS WEST BLVD, KNOXVILLE, TN 37922-3355
(865) 558-4400
(865) 769-4536
Mailing address
260 FORT SANDERS WEST BLVD, KNOXVILLE, TN 37922-3355
(865) 769-4545
(865) 769-4501

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD7686
TN
207XS0106X
Orthopaedic Hand Surgery Physician
7686
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100010027
TENNCARE
TN
01
1201455
UNITED HEALTH CARE
TN
01
200029934
RAILROAD MEDICARE
TN
01
3071364
BLUE CROSS BLUE SHIELD
TN
05
3171659
TN
01
4458104
AETNA
TN
01
TN0129
JOHN DEERE HEALTHCARE
TN
01
TN0141
JOHN DEERE HEALTHCARE
TN
Enumeration date
03/01/2006
Last updated
07/26/2012
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