Organization
PROVISION RADIOLOGY, PLLC
Active
Organization
PROVISION RADIOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID W BARKER MD (CHIEF MANAGER)
(865) 805-2687
Entity
Organization
Contact information
Practice address
1450 DOWELL SPRINGS BLVD, SUITE 230, KNOXVILLE, TN 37909-2442
(865) 805-2687
Mailing address
PO BOX 51784, KNOXVILLE, TN 37950-1784
(865) 531-6070
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
12/11/2006
Last updated
07/13/2007
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