Individual
EVELYN O MARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2300 OPITZ BLVD, WOODBRIDGE, VA 22191-3311
(703) 670-1313
(800) 536-8431
Mailing address
PO BOX 75567, BALTIMORE, MD 21275-5567
(888) 898-3291
(800) 536-8431
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0001060778
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8923957
—
VA
Enumeration date
05/15/2006
Last updated
07/18/2007
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