Doctor Name: | STEVEN A URBAN |
NPI Number: | 1043287568 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 32147 |
Business Practice Address: | 1616 W Main St Suite 300 Lebanon, TN - 370873100 |
Business Phone Number: | 6152570900 |
Business Fax Number: | 6154431444 |
Mailing Address: | 1616 W Main St, Suite 300 LEBANON |
State: | TN |
Postal Code: | 370873100 |
Phone Number: | 6152570900 |
Fax Number: | 6154431444 |
NPI Enumeration Date: | 03/02/2006 |
NPI Last Update Date: | 10/31/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 07/17/2007 |
NPI Reactivation Date: | 08/08/2007 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 32147 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |