Organization · NPI-2

Edward B. Steffner

Clinic/Center, Sleep Disorder Diagnostic · Johnson City, TN

NPI number1477561645
StatusActive
Last updated in NPPESJan 7, 2010

Details

NPI
1477561645
Entity type
Organization (NPI-2)
Legal business name
Edward B. Steffner
Organization subpart
No
Enumeration date
Aug 4, 2006
Last updated
Jan 7, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QS1200X Clinic/Center, Sleep Disorder Diagnostic––Yes

Practice location

110 E Mountcastle Dr
Suite 4
Johnson City, TN 37601-2539

Phone 423-928-7770 · Fax 423-283-0433

Mailing address

110 E Mountcastle Dr
Suite 4
Johnson City, TN 37601-2539

Phone 423-928-7770 · Fax 423-283-0433

Authorized official

Edward B Steffner
President - Owner
4239287770

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