Individual provider · Type 1 NPI
Gary Marc Mantell, D.P.M.
Primary Podiatric Medicine Podiatrist · Memphis, TN
NPI number
1750305892
Active
Practice location
5180 Park Ave Ste 220
Memphis, TN 38119-3530
Fax (901) 683-2963
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | DPM283 (TN) |
| Foot Surgery Podiatrist | 213ES0131X | DPM283 (TN) |
Primary Podiatric Medicine Podiatrist: Definition to come...
About NPI 1750305892
Gary Marc Mantell, D.P.M.'s National Provider Identifier is 1750305892, issued on Jul 26, 2006. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Memphis, TN. The record was last updated on Nov 21, 2007.