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Individual

MARK JOSEPH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2001 CRYSTAL SPRING AVE SW, SUITE 201, ROANOKE, VA 24014-2462
(540) 853-0100
(540) 342-9308
Mailing address
2001 CRYSTAL SPRING AVE SW, SUITE 201, ROANOKE, VA 24014-2462
(540) 853-0100
(540) 342-9308

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101-256570
VA
2086S0102X
Surgical Critical Care Physician
0101-256570
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
0101-256570
VA

Other

Enumeration date
04/25/2007
Last updated
12/11/2020
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