Individual
DR. MARK MILITANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
804 SOUTH ADAMS STREET, PETERSBURG, VA 23803
(804) 862-5680
(804) 862-5698
Mailing address
1101 W FRANKLIN ST, RICHMOND, VA 23220-3709
(804) 370-3082
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101045615
VA
207R00000X
Internal Medicine Physician
2014-02252
NC
Other
Enumeration date
05/25/2006
Last updated
10/15/2015
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