Provider Demographics
NPI:1407459910
Name:STERNER, DAVID GERALD (DPH)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:GERALD
Last Name:STERNER
Suffix:
Gender:M
Credentials:DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1523 FROSTY WAY
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37912-3021
Mailing Address - Country:US
Mailing Address - Phone:865-712-7927
Mailing Address - Fax:
Practice Address - Street 1:4864 N BROADWAY ST
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-1742
Practice Address - Country:US
Practice Address - Phone:865-687-2720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-18
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN21915183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist