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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MARK RICHARD GYENES, HS(IDC/DMT)

Active

Independent Duty Corpsman · MEMPHIS, TN

Registration Details

NPI Number
1104802875
Provider Type
Individual
Gender
Male
NPI Issued
Dec 15, 2005 (20.35155326027 yrs)
Last Updated
Sep 11, 2025
License
B1583538 (TN)

Practice Information

Address
2 AUCTION AVE
MEMPHIS, TN, 381051502
Browse TN providers · Browse ZIP 38105
Phone
9015443912
Fax
9015443915
Primary Specialty
Independent Duty Corpsman
1710I1002X
Additional Specialty
Independent Duty Corpsman
Additional Specialty
Health Information Specialist

Other Independent Duty Corpsman Providers in MEMPHIS, TN

Name Credential NPI
MR. SHAWN R. GETOLA HS / AMS 1669458345
MR. JONATHAN SCOTT ALLEN HS 1063544211
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.