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Individual

DR. JOHN MARK ELY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
869C JOHN MARSHALL HWY, FRONT ROYAL, VA 22630-4578
(540) 635-3223
(540) 635-1050
Mailing address
869C JOHN MARSHALL HWY, FRONT ROYAL, VA 22630-4578
(540) 635-3223
(540) 635-1050

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000042
VA

Other

Enumeration date
06/10/2006
Last updated
06/16/2008
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