Organization
OAK RIDGE UROLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONYA DEGUIRA (OFFICE MANAGER)
(865) 483-1093
Entity
Organization
Contact information
Practice address
800 OAK RIDGE TPKE, SUITE A 101, OAK RIDGE, TN 37830-6957
(865) 483-1093
(865) 482-8629
Mailing address
800 OAK RIDGE TPKE, SUITE A 101, OAK RIDGE, TN 37830-6957
(865) 483-1093
(865) 482-8629
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
MD 29931
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4439065
NCPDP NUMBER
TN
Enumeration date
03/06/2007
Last updated
08/22/2020
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