Individual
DR. MARY JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
26317 W. WASHINGTON ST., PETERSBURG, VA 23803
(804) 524-7224
Mailing address
PO BOX 4030, PETERSBURG, VA 23803-0030
(804) 524-7224
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101030070
VA
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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