Individual
STEVEN J BAUMRUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2421 N JOHN B DENNIS HWY, KINGSPORT, TN 37660-4773
(423) 288-3988
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101247663
VA
207Q00000X
Family Medicine Physician
MD18771
TN
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
18771
TN
Other
Enumeration date
06/05/2006
Last updated
02/26/2024
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