Individual
DR. DOUGLAS J. MARKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14540 JOHN MARSHALL HWY STE 104, GAINESVILLE, VA 20155-1693
(703) 712-6062
(571) 445-3075
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101059112
VA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
0101059112
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101059112
—
VA
01
—
6688-0015
CAREFIRST
VA
01
—
70569267
TRICARE
VA
05
—
7220952
—
VA
05
—
7237766
—
VA
05
—
7237774
—
VA
05
—
7237782
—
VA
05
—
7237936
—
VA
Enumeration date
01/19/2006
Last updated
07/31/2021
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