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Individual

DR. LUKE STEPHAN ERDOES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2 PROFESSIONAL PARK DR STE 11, JOHNSON CITY, TN 37604-6584
(423) 434-7400
(423) 434-7401
Mailing address
2 PROFESSIONAL PARK DR STE 11, JOHNSON CITY, TN 37604-6584
(423) 434-7400
(423) 434-7401

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
9500568
NC
2086S0102X
Surgical Critical Care Physician
9500568
NC
2086S0129X
Vascular Surgery Physician
116955
AK
2086S0129X
Vascular Surgery Physician
Primary
34700
TN
2086S0129X
Vascular Surgery Physician
8186235-1205
UT
2086S0129X
Vascular Surgery Physician
9500568
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1558355511
VA
05
3860965
TN
01
4082499
BCBS OF TN
01
8856383
CIGNA
01
P00136769
RR MEDICARE
05
Q030493
TN
01
TN0181
JDH
Enumeration date
09/07/2005
Last updated
09/05/2025
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