Provider Demographics
NPI:1427369164
Name:HASLER, PHILLIP WOOD (DPM)
Entity Type:Individual
Prefix:DR
First Name:PHILLIP
Middle Name:WOOD
Last Name:HASLER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1415 OLD WEISGARBER RD STE 350
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-1381
Mailing Address - Country:US
Mailing Address - Phone:865-588-1605
Mailing Address - Fax:865-588-1608
Practice Address - Street 1:1415 OLD WEISGARBER RD STE 350
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-1381
Practice Address - Country:US
Practice Address - Phone:865-588-1605
Practice Address - Fax:865-588-1608
Is Sole Proprietor?:No
Enumeration Date:2010-06-28
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UTPENDING213ES0103X
TNDPM741213ES0103X, 213E00000X
KY00438213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery