Dr. Mark Militana, MD
Emergency Medicine in Petersburg, VA. Individual provider (NPI-1).
NPI number1104872019
StatusActive
Last updated in NPPESOct 15, 2015
Details
- NPI
- 1104872019
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark Militana
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 25, 2006
- Last updated
- Oct 15, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 0101045615 | VA | Yes |
| 207R00000X | Internal Medicine | 2014-02252 | NC |
Practice location
804 South Adams StreetPetersburg, VA 23803
Phone 804-862-5680 · Fax 804-862-5698
Mailing address
1101 W Franklin StRichmond, VA 23220-3709
Phone 804-370-3082
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