Individual
MARK N DUMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5801 BREMO ROAD, RICHMOND, VA 23226
(804) 285-0620
(804) 285-0726
Mailing address
5801 BREMO ROAD, RICHMOND, VA 23226
(804) 285-0620
(804) 285-0726
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101247752
VA
207R00000X
Internal Medicine Physician
30149
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110060522
RAILROAD MEDICARE
—
05
—
1548245855
—
VA
05
—
7929371
—
NC
Enumeration date
12/08/2005
Last updated
11/05/2015
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