Mark Ewing Chisam M.D.

NPI 1053381251 - Radiology - 2085R0001X

NPI Details
NPI 1053381251
Gender Male
Enumeration Date 01/23/2006
Last Updated 10/03/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
3901 TREYBURN DR
SUITE B
WILLIAMSBURG VA, 23185-2891, US
Phone (757) 220-4900
Fax (757) 565-5328
Business Location
856 J CLYDE MORRIS BLVD
SUITE A
NEWPORT NEWS VA, 23601-1318, US
Phone
Fax
Toxanomy
Taxonomy Code 2085R0001X
License State Virginia
License Number 0101054200
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According to our database, Dr. Mark Ewing Chisam M.D. NPI is 1053381251, taxonomy code is 2085R0001X and license number is 0101054200, license state is located at Virginia. Mark Ewing Chisam M.D. physically located at 3901 Treyburn Dr, Williamsburg VA, 23185-2891. NPI Number Mark Ewing Chisam M.D. has the Individual type.

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1053381251 NPI number is provided on an as is basis without warranty of any kind. 1053381251 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Ewing Chisam M.D. are for informational purposes only.