NPI 1790160364

Mitchell Paul Rider, DPM

Practitioner Foot & Ankle Surgery Podiatrist Mountain Home, TN

Practice location

Address: Bldg 20 Memorial Ave, Mountain Home, TN 37684-4000
Phone: (423) 926-1171
Mailing address: Naval Hospital Cmp Ljn Pdtry 100 Brewster Blvd, Camp Lejeune, NC 28547

Registered specialties (2)

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence DPM0000000778 (TN)

Other Podiatrist providers in Tennessee →

Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence DPM0000000778 (TN)

Registry record

NPI: 1790160364
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jul 2015
Record last updated: 24 Oct 2023

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.