Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GARY MARC MANTELL, D.P.M.
Active Sole ProprietorDR. GARY MARC MANTELL, D.P.M. is a Radiology Podiatrist healthcare provider located in MEMPHIS, Tennessee. NPI 1750305892 is currently active in the NPPES registry. Verify at CMS.
Radiology Podiatrist · MEMPHIS, TN
Registration Details
- NPI Number
- 1750305892
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2006 (20.08045972311 yrs)
- Last Updated
- Nov 21, 2007
- Licenses
-
DPM283 (TN)DPM283 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5180 PARK AVE STE 220MEMPHIS, TN, 381193530Browse TN providers · Browse ZIP 38119
- Phone
- 9016824668
- Fax
- 9016832963
- Primary Specialty
-
Radiology Podiatrist
213EP1101X
- Additional Specialty
- Foot Surgery Podiatrist
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.