Organization
EDWARD B. STEFFNER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD B STEFFNER R.R.T (PRESIDENT - OWNER)
(423) 928-7770
Entity
Organization
Contact information
Practice address
110 E MOUNTCASTLE DR, SUITE 4, JOHNSON CITY, TN 37601-2539
(423) 928-7770
(423) 283-0433
Mailing address
110 E MOUNTCASTLE DR, SUITE 4, JOHNSON CITY, TN 37601-2539
(423) 928-7770
(423) 283-0433
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4130343
BCBS OF TN
SD
Enumeration date
08/04/2006
Last updated
01/07/2010
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