JUSTIN R MIZE

VIRGINIA BEACH, VA
NPI1104152479
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: VA  0110003168)
Enumeration Date2009-10-21
Last Update Date2022-10-25
Business Address
JUSTIN R MIZE PA
4092 FOXWOOD DR SUITE 101
VIRGINIA BEACH, VA 23462-5225
Phone number: 757-467-4200
Mailing Address
JUSTIN R MIZE PA
PO BOX 7549
PORTSMOUTH, VA 23707-0549
Phone number: 757-686-3515
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