Robert David Ponder M.D.

NPI 1083609119 - Specialist - 174400000X

NPI Details
NPI 1083609119
Gender Male
Enumeration Date 09/14/2005
Last Updated 02/24/2012
Entity Type Individual
Active Over 12 years ago
Practice Location
801 N WEISGARBER RD
SUITE 200
KNOXVILLE TN, 37909-2706, US
Phone (865) 584-8588
Fax (865) 584-3364
Business Location
6701 BAUM DR
SUITE 140
KNOXVILLE TN, 37919-7360, US
Phone (865) 584-5727
Fax (865) 450-9904
Toxanomy
Taxonomy Code 174400000X
License State Tennessee
License Number MD24382
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According to our database, Dr. Robert David Ponder M.D. NPI is 1083609119, taxonomy code is 174400000X and license number is MD24382, license state is located at Tennessee. Robert David Ponder M.D. physically located at 801 N Weisgarber Rd, Knoxville TN, 37909-2706. NPI Number Robert David Ponder M.D. has the Individual type.

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1083609119 NPI number is provided on an as is basis without warranty of any kind. 1083609119 is maintained by the National Plan & Provider Enumeration System. The contents of Robert David Ponder M.D. are for informational purposes only.