Individual
MARK PHILLIP MONIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 KINGS WAY STE 2600, WILLIAMSBURG, VA 23185-2554
(757) 345-0141
(757) 206-1291
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101058407
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007311885
—
VA
Enumeration date
07/18/2005
Last updated
11/03/2021
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