Mountain States Health Alliance
NPI #1093580466 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1093580466
- Entity Type
- Organization
- Organization Name
- Mountain States Health Alliance
- Primary Specialty
- Internal Medicine - Hematology & Oncology
- Enumeration Date
- Nov 16, 2023
- Last Updated
- Nov 16, 2023
Practice Location
- Address
- 1 PROFESSIONAL PARK DR STE 21
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37604-6909
- Phone
- (423) 232-6900
Authorized Official
- Name
- PATRICIA TARTE
- Title
- ENROLLMENT SUPERVISOR
- Phone
- (423) 302-6565
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Hematology & Oncology — Hematology & Oncology |
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