Stephen Marietta M.D.

NPI 1053301606 - Internal Medicine - 207RC0000X

NPI Details
NPI 1053301606
Gender Male
Enumeration Date 10/25/2005
Last Updated 12/09/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
9330 PARK WEST BLVD
SUITE 202
KNOXVILLE TN, 37923-4308, US
Phone (865) 691-4850
Fax (865) 694-8018
Business Location
9330 PARK WEST BLVD
SUITE 202
KNOXVILLE TN, 37923-4308, US
Phone (865) 691-4850
Fax (865) 694-8018
Toxanomy
Taxonomy Code 207RC0000X
License State Tennessee
License Number 16657
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According to our database, Dr. Stephen Marietta M.D. NPI is 1053301606, taxonomy code is 207RC0000X and license number is 16657, license state is located at Tennessee. Stephen Marietta M.D. physically located at 9330 Park West Blvd, Knoxville TN, 37923-4308. NPI Number Stephen Marietta M.D. has the Individual type.

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1053301606 NPI number is provided on an as is basis without warranty of any kind. 1053301606 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Marietta M.D. are for informational purposes only.