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Individual

RAYMOND J GARDOCKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-2205
(615) 936-2000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 936-2000

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
38132
TN
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
38132
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09122578
MS
05
165839001
AR
05
Q016960
TN
Enumeration date
09/27/2005
Last updated
01/17/2024
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