Individual
DAVID W. MARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 MEDICAL PARK BLVD STE 305E, BRISTOL, TN 37620-7450
(423) 844-5640
(423) 844-5645
Mailing address
1 MEDICAL PARK BLVD STE 305E, BRISTOL, TN 37620-7450
(423) 844-5640
(423) 844-5645
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
DO 1214
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1509780
—
TN
05
—
1699778605
—
VA
Enumeration date
05/23/2005
Last updated
11/30/2016
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