Individual
DR. MITCHELL HOWARD BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1168 FIRST COLONIAL RD, STE 201, VIRGINIA BEACH, VA 23454-2444
(757) 481-1113
(757) 496-3822
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101252048
VA
208000000X
Pediatrics Physician
0101252048
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/12/2006
Last updated
11/12/2012
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