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David W. Marden

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NPI Number Detailed Information

Provider Information:

Name: David W. Marden
Gender: M
Provider License Number If Given: DO 1214

NPI Information:

NPI: 1699778605
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 11/30/2016

Provider Business Mailing Address:

Address: 1 MEDICAL PARK BLVD STE 305E
Bristol, TN 37620
Phone Number: 4238445640
Fax Number: 4238445645

Provider Business Practice Location Address:

Address: 1 MEDICAL PARK BLVD STE 305E
Bristol, TN 37620
Phone Number: 4238445640
Fax Number: 4238445645

Provider Taxonomy:

Primary: 207V00000X
Secondary (if any):
State: TN

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