Basic Information
| Provider Information | |||||||||
| NPI: | 1831114115 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ARNESS | ||||||||
| FirstName: | MARK | ||||||||
| MiddleName: | K | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2400 MCKINNEY BLVD | ||||||||
| Address2: | |||||||||
| City: | COLONIAL BEACH | ||||||||
| State: | VA | ||||||||
| PostalCode: | 224431237 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8042242222 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2400 MCKINNEY BLVD | ||||||||
| Address2: | |||||||||
| City: | COLONIAL BEACH | ||||||||
| State: | VA | ||||||||
| PostalCode: | 224431237 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8042242222 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/13/2006 | ||||||||
| LastUpdateDate: | 12/21/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2083X0100X | D67437 | MD | N | Allopathic & Osteopathic Physicians | Preventive Medicine | Occupational Medicine | 2083P0500X | 0101243162 | VA | Y | Allopathic & Osteopathic Physicians | Preventive Medicine | Preventive Medicine/Occupational Environmental Medicine |
No ID Information.