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Individual

MARK D. SUAREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
809 MINERAL RD, GLENVILLE, WV 26351-1385
(304) 462-7322
(304) 462-4052
Mailing address
809 MINERAL RD, GLENVILLE, WV 26351-1385
(304) 462-7322
(304) 462-4052

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
869
WV

Other

Enumeration date
05/12/2006
Last updated
12/03/2010
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