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Justin Mize, PA
NPI 1104152479 · on the registry since 2009
Practice
- Address
- 4092 Foxwood Dr
Suite 101
Virginia Beach, VA 23462 - Phone
- (757) 467-4200
- Fax
- (757) 686-0541
- Organisation at this address
- Emergency Physician Of Tidewater
Emergency Physicians Of Tidewater, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 134
Additional practice sites
- 225 Clearfield Ave, Virginia Beach, VA
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-10-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia