Ronald Jc Fejeran DO

NPI 1073518288 - Internal Medicine - 207R00000X

NPI Details
NPI 1073518288
Gender Male
Enumeration Date 06/15/2005
Last Updated 11/14/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
1442 N BROAD ST
SUITE 7
TAZEWELL TN, 37879-4361, US
Phone (423) 626-1931
Fax (423) 626-1948
Business Location
PO BOX 959
ATTN: CREDENTIALING
NEW TAZEWELL TN, 37824-0959, US
Phone (423) 626-1931
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Tennessee
License Number D0999
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According to our database, Dr. Ronald Jc Fejeran DO NPI is 1073518288, taxonomy code is 207R00000X and license number is D0999, license state is located at Tennessee. Ronald Jc Fejeran DO physically located at 1442 N Broad St, Tazewell TN, 37879-4361. NPI Number Ronald Jc Fejeran DO has the Individual type.

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1073518288 NPI number is provided on an as is basis without warranty of any kind. 1073518288 is maintained by the National Plan & Provider Enumeration System. The contents of Ronald Jc Fejeran DO are for informational purposes only.