NPI 1033569629

Tyler Black

Practitioner Anesthesiology Physician Knoxville, TN

Practice location

Address: 501 20th St STE 606, Knoxville, TN 37916-1863
Phone: (865) 546-8040
Mailing address: 1719 Cove Oak Ln, Knoxville, TN 37909-1272

Registered specialties (2)

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 56990 (TN)

Other Anesthesiology providers in Tennessee →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1033569629
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jun 2016
Record last updated: 31 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.