person
Vlada W Mardovin, MD
Specialist in Springfield, Ohio
NPI 1437224508

Vlada W Mardovin is a Specialist based in Springfield, OH. Vlada W Mardovin practices in Springfield, OH and has the professional credentials of MD. The NPI Number for Vlada W Mardovin is 1437224508 and holds a License No. 35069608 (Ohio).

The current practice location address for Vlada W Mardovin is 1164 E Home Rd, Springfield, OH and can be reached out via phone at 937-342-9260 and via fax at 937-342-9262.

Location: 1164 E Home Rd, Springfield, OH, 45503-2726
person
Provider Profile Details
NPI Number
1437224508
Provider Name
Vlada W Mardovin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1164 E Home Rd, Springfield, OH, 45503-2726
Phone Number
937-342-9260
Fax Number
937-342-9262
Provider Enumeration Date
11/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA4047453 01 OH OTHER MEDICARE LOCATION
1900693 01 UNITED HEALTHCARE
0007490231 01 OH AETNA
0267358 05 OH
340018970 01 RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
1164 E Home Rd
City
State
Zip
45503-2726
Phone Number
937-342-9260
Fax Number
937-342-9262
person
Provider Business Mailing Address Details
Address
1164 E Home Rd
City
State
Zip
45503-2726
Phone Number
937-342-9260
Fax Number
937-342-9262
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
35069608 (Ohio)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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