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Individual

MARDON RANDALL DAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2400 PATTERSON ST, SUITE 123, NASHVILLE, TN 37203-1562
(615) 327-2200
(615) 327-2842
Mailing address
2400 PATTERSON ST, SUITE 123, NASHVILLE, TN 37203-1562
(615) 327-2200
(615) 327-2842

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DPM000485
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3352801
TN
Enumeration date
12/06/2005
Last updated
11/11/2009
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