Doctor Name: | DR. BRIAN DAVID ARBOGAST |
NPI Number: | 1689988925 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | Vamc Bdg 1 Rm B-30 Dogwood Lane Department Of Pathology Mountain Home, TN - 37684 |
Business Phone Number: | 4234396210 |
Business Fax Number: | 4234398060 |
Mailing Address: | Box No. 70568, Etsu, Department Of Pathology, Quillen College Of Medicine JOHNSON CITY |
State: | TN |
Postal Code: | 376140568 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/28/2010 |
NPI Last Update Date: | 07/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |