| NPI | 1235182775 |
|---|---|
| Doing Business As | UTICA PARK CLINIC |
| Entity Type | Organization |
| Authorized Contact | STEPHEN C. PETROVICH EVP General Counsel 615-296-3594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208600000X Surgery |
| 208800000X Urology | |
| 363L00000X Nurse Practitioner | |
| 207T00000X Neurological Surgery | |
| 207R00000X Internal Medicine | |
| 363A00000X Physician Assistant | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 2080P0210X Pediatrics, Pediatric Nephrology | |
| 208000000X Pediatrics | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2026-04-06 |