Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 32147 | TN |
NPI | 1043287568 |
---|---|
Provider Name | Steven A Urban |
First Address | Lebanon, TN 37087-3100 |
Second Address | Lebanon, TN 37087-3100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2006 |
Last Update Date | 31/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3847601 | (05) | TN |
BU6533447 | DEA (01) | |
H06259 | (02) |