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Mountain States Health Alliance
Hematology & Oncology Physician in Johnson City, Tennessee
NPI 1093580466

Mountain States Health Alliance is a Hematology & Oncology Physician based in Johnson City, TN and is specialized in Hematology & Oncology. Mountain States Health Alliance practices in Johnson City, TN. The NPI Number for Mountain States Health Alliance is 1093580466 and holds a License No. (Tennessee).

The current practice location address for Mountain States Health Alliance is 1 Professional Park Dr Ste 21, Johnson City, TN and can be reached out via phone at 423-232-6900 and via fax at 423-232-6903.

Location: 1 Professional Park Dr Ste 21, Johnson City, TN, 37604-2192
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093580466
Provider Name
Mountain States Health Alliance
Credential
Provider Entity Type
Organization
Address
1 Professional Park Dr Ste 21, Johnson City, TN, 37604-2192
Phone Number
423-232-6900
Fax Number
423-232-6903
Provider Enumeration Date
11/16/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1 Professional Park Dr Ste 21
City
Johnson City
State
Tennessee
Zip
37604-6909
Phone Number
423-232-6900
Fax Number
423-232-6903
person
Provider Business Mailing Address Details
Address
1 Professional Park Dr Ste 21
City
Johnson City
State
Tennessee
Zip
37604-6909
Phone Number
423-232-6900
Fax Number
423-232-6903
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
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Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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