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Individual

BEVAN LONDERGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 936-2000
(302) 651-4945

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
050268
CT
207LP3000X
Pediatric Anesthesiology Physician
15668
FL
207LP3000X
Pediatric Anesthesiology Physician
Primary
MD57600
TN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/11/2007
Last updated
03/18/2022
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