Individual
MARK ALLAN DELAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
1875 COVE RD, BLDG 3806, NORFOLK, VA 23521-2911
(757) 462-3780
Mailing address
5039 GUNTER ST APT A, VIRGINIA BEACH, VA 23455-4067
(757) 317-7040
(757) 318-7123
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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