Individual
MARIO E. BRICENO-MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
51 N DUNLAP ST, 2ND FLOOR, MEMPHIS, TN 38105-4625
(901) 287-7337
Mailing address
1432 ISLAND TOWN DR, MEMPHIS, TN 38103-9045
(901) 483-7886
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
54334
TN
Other
Enumeration date
12/23/2009
Last updated
10/04/2016
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