Organization
KNOXVILLE CENTER FOR DERMATOLOGY AND PLASTIC SURGERY, PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL P. FOWLER MD (OWNER)
(865) 470-4124
Entity
Organization
Contact information
Practice address
9430 PARK WEST BLVD STE 240, KNOXVILLE, TN 37923
(865) 470-4127
(833) 790-3693
Mailing address
PO BOX 11268, KNOXVILLE, TN 37939-1268
(865) 470-4127
(833) 790-3693
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q035060
—
TN
Enumeration date
03/16/2018
Last updated
06/05/2018
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