Bruce L Fetterman in Cordova - Otology & Neurotology
Bruce L Fetterman - NPI 1699881052
Bruce L Fetterman is a Otology & Neurotology in Cordova, Tennessee. Bruce L Fetterman practices all healthcare services and medical treatments related to Otology & Neurotology. The NPI Number for Bruce L Fetterman is 1699881052. The last update date is 2020-12-17.
Bruce L Fetterman's current location address is Po Box 2757, Cordova, Tennessee. You can contact this provider via phone number 9017555300 and fax number 9017539659. The mailing address for Bruce L Fetterman is Po Box 2757, Cordova, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce L Fetterman |
|---|---|
| Address | Po Box 2757, Cordova, Tennessee |
| Phone Number | 9017555300 |
| Fax Number | 9017539659 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1699881052 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2020-12-17 |
Provider Mailing Address Detail
| Address | Po Box 2757 |
|---|---|
| City | Cordova |
| State | Tennessee (TN) |
| Post Code | 380882757 |
| Phone Number | 9017555300 |
| Fax Number | 9017539659 |
Provider's Primary Taxonomy Detail
| Speciality | Otology & Neurotology |
|---|---|
| Taxonomy | 207Yx0901X |
| Licence No | MD29959 |
|
Definition: An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiolog |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4108473 | TN | BC | |
| 3818743 | TN | -- | |
| 97772 | AR | BC | |
| P00238841 | TN | RR MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Bruce L Fetterman?
The Bruce L Fetterman has been issued the NPI (National Provider Identifier) 1699881052 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Bruce L Fetterman is geographically located?
The Bruce L Fetterman is physically situated at the following location: Po Box 2757, Cordova, TN, 380882757.
What is Bruce L Fetterman's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Bruce L Fetterman is Otology & Neurotology, and the corresponding taxonomy classification code for this specialized field is 207Yx0901X.
On what date did the Centers for Medicare & Medicaid Services assign the 1699881052 to Bruce L Fetterman?
The Centers for Medicare & Medicaid Services assigned the 1699881052 to Bruce L Fetterman on 2006-08-21.
As of what date were the details pertaining to Bruce L Fetterman last refreshed?
The information related to the Bruce L Fetterman, including its address, specialty, and other relevant details, was last updated on 2020-12-17.