Organization
DEBORAH R. DISTEFANO M.D.P.C.
Active
Other names
DiStefano Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA JEAN MESERVE (OFFICE MANAGER)
(423) 648-3937
Entity
Organization
Contact information
Practice address
1815 GUNBARREL RD, CHATTANOOGA, TN 37421-3130
(423) 648-3937
(423) 648-2043
Mailing address
1815 GUNBARREL RD, CHATTANOOGA, TN 37421-3130
(423) 648-3937
(423) 648-2043
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MD14067
TN
Other
Enumeration date
08/07/2007
Last updated
10/03/2012
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