Individual
DR. MEDNEY TARDY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
651 JACANA CIR, NAPLES, FL 34105-7400
(239) 398-8471
Mailing address
651 JACANA CIR, NAPLES, FL 34105-7400
(239) 398-8471
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
01019128A
IN
207YS0123X
Facial Plastic Surgery Physician
Primary
336.009854
IL
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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