Individual
MARK STEVEN MEHLFERBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
320 BRISTOL WEST BLVD STE 2B, BRISTOL, TN 37620-8765
(423) 844-6407
(866) 285-5248
Mailing address
PO BOX 17016, BRISTOL, VA 24209-7016
(423) 844-6407
(866) 285-5248
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
P14842
TN
363AS0400X
Surgical Physician Assistant
TNP14842
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4107899
BC & BS MEDICAL
TN
01
—
4107910
BC & BS SURGICAL
TN
01
—
TN0103
JOHN DEERE
TN
Enumeration date
11/09/2006
Last updated
09/11/2025
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