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Individual

DR. MARK D FALLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8150 LEESBURG PIKE, SUITE 909, VIENNA, VA 22182-2714
(703) 790-1780
(703) 734-0491
Mailing address
8150 LEESBURG PIKE, VIENNA, VA 22182-2714
(703) 790-1780
(703) 734-0491

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6301193
VA
Enumeration date
11/30/2006
Last updated
07/08/2007
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