Provider Demographics
NPI:1306869110
Name:ENCK, ROBERT E (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:E
Last Name:ENCK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:#1 PROFESSIONAL PARK DR., SUITE 21
Mailing Address - Street 2:REGIONAL CANCER CENTER
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604
Mailing Address - Country:US
Mailing Address - Phone:423-232-6900
Mailing Address - Fax:423-232-6903
Practice Address - Street 1:#1 PROFESSIONAL PARK DR., SUITE 21
Practice Address - Street 2:REGIONAL CANCER CENTER
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604
Practice Address - Country:US
Practice Address - Phone:423-232-6900
Practice Address - Fax:423-232-6903
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2011-05-03
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Provider Licenses
StateLicense IDTaxonomies
TNMD42629207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3000515Medicare PIN