Individual
DR. GARY ALLEN PASSONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
909 RIDGEWAY LOOP RD, MEMPHIS, TN 38120-4016
(901) 683-1112
(901) 683-1174
Mailing address
909 RIDGEWAY LOOP RD, MEMPHIS, TN 38120
(901) 683-1112
(901) 683-1174
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD12831
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30235061
—
TN
05
—
3023507
—
TN
01
—
4176670
BLUE CROSS BLUE SHIELD OF TENNESSEE
TN
Enumeration date
08/30/2006
Last updated
03/07/2023
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