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

DR. MITCHELL PAUL RIDER, DPM

Active

DR. MITCHELL PAUL RIDER, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in MOUNTAIN HOME, Tennessee. NPI 1790160364 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery Podiatrist · MOUNTAIN HOME, TN

Registration Details

NPI Number
1790160364
Provider Type
Individual
Gender
Male
NPI Issued
Jul 24, 2015 (10.876046590475 yrs)
Last Updated
Oct 24, 2023
Licenses
DPM0000000778 (TN)
DPM0000000778 (TN)

Practice Information

Address
BLDG 20 MEMORIAL AVE
MOUNTAIN HOME, TN, 376844000
Browse TN providers · Browse ZIP 37684
Phone
4239261171
Primary Specialty
Foot & Ankle Surgery Podiatrist
213ES0103X
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.