Individual
DR. MARK D DOLLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
46440 BENEDICT DR, SUITE 111, STERLING, VA 20164-6602
(703) 444-9555
(703) 444-1190
Mailing address
46440 BENEDICT DR, SUITE 111, STERLING, VA 20164-6602
(703) 444-9555
(703) 444-1190
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103000649
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009302689
—
VA
01
—
48000120
PALMETTO GBA
VA
Enumeration date
11/04/2005
Last updated
04/20/2015
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