Individual
DR. MARK HAROLD MERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2621 GROVE AVENUE, RICHMOND, VA 23220-4300
(804) 254-5100
Mailing address
PO BOX 17978, RICHMOND, VA 23226-7978
(804) 289-4937
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101044518
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010027373
—
VA
Enumeration date
05/24/2006
Last updated
01/24/2014
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