Individual
MILTON IRIZARRY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
4330 MAYNARDVILLE HWY, MAYNARDVILLE, TN 37807-3618
(865) 992-3849
(865) 992-5166
Mailing address
DEPARTMENT 888182, KNOXVILLE, TN 37995-0001
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD37057
TN
Other
Enumeration date
07/19/2005
Last updated
07/08/2007
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