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Individual

DR. MARK ALLEYN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA, DNP

Contact information

Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 231-3224
Mailing address
91-1014 KAI LEA ST, EWA BEACH, HI 96706-6296
(502) 741-0681

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001287876
VA
163W00000X
Registered Nurse
28179750A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
0024177947
VA
367500000X
Certified Registered Nurse Anesthetist
103831
GA

Other

Enumeration date
07/24/2015
Last updated
08/22/2019
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