NPI 1437224508

Vlada W Mardovin, MD

Practitioner Specialist Springfield, OH

Practice location

Address: 1164 E Home Rd, Springfield, OH 45503-2726
Phone: (937) 342-9260
Fax: (937) 342-9262
Mailing address: 1164 E Home Rd Suite J, Springfield, OH 45503-2726

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 35069608 (OH)

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Registry record

NPI: 1437224508
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Nov 2006
Record last updated: 5 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.