Individual
MARK STUART DILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3001 HOSPITAL DR, CHEVERLY, MD 20785-1189
(301) 618-6100
Mailing address
397 BALTIMORE ANNAPOLIS BLVD, SEVERNA PARK, MD 21146-1371
(410) 544-7295
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0000350
MD
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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