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Organization

UNIVERSITY GASTROENTEROLOGY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK D ANDERSON MD (PRESIDENT)
(865) 305-6570
Entity
Organization

Contact information

Practice address
1928 ALCOA HWY, STE 100, KNOXVILLE, TN 37920-1502
(865) 305-6570
(865) 305-6576
Mailing address
PO BOX 888197, KNOXVILLE, TN 37995-8197
(865) 670-6199
(865) 670-6198

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3707009
TN
Enumeration date
06/06/2007
Last updated
01/25/2017
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