Individual
MR. MARK FRANCIS MERWARTH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
7858 SHRADER RD, RICHMOND, VA 23294-4222
(804) 270-1305
(804) 273-9294
Mailing address
7858 SHRADER RD, RICHMOND, VA 23294-4222
(804) 270-1305
(804) 273-9294
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002463
VA
363AS0400X
Surgical Physician Assistant
0110002463
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00266743
RR MEDICARE
—
Enumeration date
10/27/2006
Last updated
01/14/2022
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