Individual
DR. DEBRA ELIZABETH MARDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
8422 N ARCOLA AVE, KANSAS CITY, MO 64153-2871
(816) 582-1157
Mailing address
8422 N ARCOLA AVE, KANSAS CITY, MO 64153-2871
(816) 582-1157
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
41000210A
IN
Other
Enumeration date
05/02/2007
Last updated
02/11/2014
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