Individual
DR. MARK ENDE
Active
Individual
DR. MARK ENDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
BC83898
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005861837
—
VA
01
—
229767802
TRICARE
VA
01
—
251257
ANTHEM BLUE CROSS
VA
Enumeration date
10/03/2006
Last updated
04/26/2010
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