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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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