Mark T Stevens
Family Doctor - Addiction Medicine
10706 Wynkoop Dr
Great Falls
, Virginia 22066-1606
Mark T Stevens
Family Doctor - Addiction Medicine
10706 Wynkoop Dr
Great Falls
, Virginia 22066-1606
(703) 282-9468
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About
Features
Specialties
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Mark T Stevens
- 10706 Wynkoop Dr
- Great Falls, VA
- Zip : 22066-1606
- Phone : (703) 282-9468
Second Address
- Mark T Stevens
- 10706 Wynkoop Dr
- Great Falls, VA
- Zip : 22066-1606
- Phone : (703) 282-9468
Reviews
FAQs
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In what state does Mark T Stevens practice in?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0401X | Family Doctor - Addiction Medicine | 0101257868 | VA |
National Provider Identifier
| NPI | 1760499669 |
|---|---|
| Provider Name | Mark T Stevens |
| First Address | Great Falls, VA 22066-1606 |
| Second Address | Great Falls, VA 22066-1606 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/08/2006 |
| Last Update Date | 17/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 23419 | STATE LICENSE (01) | NE |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.