Organization
MARDEN MEDICAL, PLLC
Active
Other names
Advanced Gynecology & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID W MARDEN D.O. (DOCTOR)
(423) 844-5640
Entity
Organization
Contact information
Practice address
1 MEDICAL PARK BLVD, SUITE 205E, BRISTOL, TN 37620-7430
(423) 844-5640
Mailing address
1 MEDICAL PARK BLVD, SUITE 205E, BRISTOL, TN 37620-7430
(423) 844-5640
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
DO0000001214
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386978062
—
VA
05
—
1516542
—
TN
Enumeration date
09/28/2009
Last updated
03/29/2010
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