Search › Virginia › 207R00000X
Mark Wantaja, DO
NPI 1750907143 · on the registry since 2020
Practice
- Address
- 96 15th St Nw
Norton, VA 24273 - Phone
- (276) 679-3488
- Organisation at this address
- Norton Community Physician Services Llc
Norton Community Physician Services Llc
Norton Community Physicians Services Llc
Community Physicians Services Corporation
Community Physicians Services CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 39
Additional practice sites
- 1615 Delaware St, Longview, WA
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207R00000X
- Licence states on file
- WA, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-19
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