Individual
MARK A SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5372 FALLOWATER LN, ROANOKE, VA 24018-0907
(540) 224-5170
(540) 983-8212
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5715
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101050543
VA
208800000X
Urology Physician
Primary
0101050543
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007500009
—
VA
Enumeration date
08/19/2005
Last updated
10/24/2022
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