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NPI Code Detail

MEDICARE: DR. ROBERT D FIFE M.D.

MEDICARE: DR. ROBERT D FIFE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianMD0000016262TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972501831
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT D FIFE M.D.
Provider Business Mailing Address
First Line : PO BOX 1070
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37605-1070
Country : US
Telephone Number : 423-283-0776
Fax Number : 423-283-0549
Provider Business Practice Location Address
First Line : 1114 SUNSET DR
Second Line : SUITE 4
City : JOHNSON CITY
State : TN
Zip : 37604-2969
Country : US
Telephone Number : 423-283-0776
Fax Number : 423-283-0549
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2005
Last Update Date : 07/08/2007

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Directions to “ DR. ROBERT D FIFE M.D.” Practice Location

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