Individual provider · Type 1 NPI

Richard G. Wanderman, MD

Pediatric Adolescent Medicine Physician · Memphis, TN

NPI number 1184724312 Active

Practice location

4646 Poplar Ave Ste 302
Memphis, TN 38117-4433

Fax (905) 552-3902

Specialties and licenses

TaxonomyCodeLicense
Allergy Physician 207KA0200X22468 (TN)
Family Medicine Physician 207Q00000X22468 (TN)
Pediatric Adolescent Medicine Physician Primary 2080A0000X22468 (TN)

Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

12 other providers at this address

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About NPI 1184724312

Richard G. Wanderman, MD's National Provider Identifier is 1184724312, issued on Sep 25, 2006. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Memphis, TN. The record was last updated on Oct 19, 2022.