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Individual

DR. MARK ALLEN ERDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1336 ALVERSER PLZ, MIDLOTHIAN, VA 23113-2604
(804) 594-1944
(804) 594-1945
Mailing address
1336 ALVERSER PLZ, MIDLOTHIAN, VA 23113-2604
(804) 594-1944
(804) 594-1945

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103300935
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010136296
VA
01
188610
ANTHEM
VA
01
2131963
MAMSI
VA
01
259460
SOUTHERN HEALTH
VA
01
5598322
FIRST HEALTH
VA
01
7247698
AETNA
VA
01
7330335
CIGNA
VA
01
861077371
PHCS
VA
Enumeration date
08/31/2006
Last updated
03/11/2010
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