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Individual

DR. MARK D TRIPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 N SHENANDOAH AVE, FRONT ROYAL, VA 22630-3547
(540) 636-0327
(540) 636-0198
Mailing address
220 CAMPUS BLVD STE 100, WINCHESTER, VA 22601-2888
(540) 536-5100
(540) 536-0235

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101053878
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010261881
VA
Enumeration date
06/14/2006
Last updated
03/16/2021
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