Healthcare Provider Details
I. General information
NPI: 1871640722
Provider Name (Legal Business Name): STEVEN L ZURLINDEN PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/04/2007
Last Update Date: 09/10/2020
Certification Date: 09/10/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10810 PARKSIDE DR STE 208
KNOXVILLE TN
37934-1981
US
IV. Provider business mailing address
10810 PARKSIDE DR STE 208
KNOXVILLE TN
37934-1981
US
V. Phone/Fax
- Phone: 865-647-3350
- Fax: 865-647-3359
- Phone: 865-647-3350
- Fax: 865-647-3359
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363AS0400X |
| Taxonomy | Surgical Physician Assistant |
| License Number | PA2342 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: