Healthcare Provider Details

I. General information

NPI: 1851475602
Provider Name (Legal Business Name): BROOK ALLEN SAUNDERS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 08/25/2020
Certification Date: 08/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1915 WHITE AVE
KNOXVILLE TN
37916-2300
US

IV. Provider business mailing address

1915 WHITE AVE
KNOXVILLE TN
37916-2300
US

V. Phone/Fax

Practice location:
  • Phone: 865-541-2865
  • Fax: 865-541-2564
Mailing address:
  • Phone: 865-541-2865
  • Fax: 865-541-2564

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number44796
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: