Individual
MARK E TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
Mailing address
PO BOX 1093, SALEM, VA 24153-1093
(540) 387-1834
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101042662
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0053521000
—
WV
05
—
010040876
—
VA
Enumeration date
04/19/2006
Last updated
12/20/2013
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