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Organization

UNIVERSITY ORTHOPEDIC CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JONATHAN N. DEGNAN M.D. (OWNER)
(865) 521-7662
Entity
Organization

Contact information

Practice address
501 19TH ST, SUITE 601, KNOXVILLE, TN 37916-1854
(865) 521-7662
(865) 541-2895
Mailing address
501 19TH ST, SUITE 601, KNOXVILLE, TN 37916-1854
(865) 521-7662
(865) 541-2895

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD020653
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
121659
BLUE CROSS PROVIDER #
TN
01
166410400
U.S. DEPT. OF LABOR PROV.
TN
01
21159366
WAUSAU PROVIDER #
TN
Enumeration date
09/14/2005
Last updated
02/25/2008
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