Individual
MARK ANCEL GUERRERO EDANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 GRESHAM DR FL 5, NORFOLK, VA 23507-1904
(757) 388-3198
Mailing address
600 GRESHAM DR FL 5, NORFOLK, VA 23507-1904
(757) 388-3198
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101254627
VA
207R00000X
Internal Medicine Physician
38947
IA
208M00000X
Hospitalist Physician
0101254627
VA
208M00000X
Hospitalist Physician
38947
IA
Other
Enumeration date
07/11/2007
Last updated
06/07/2024
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