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1245238096
MARK A PAVILACK
PORTSMOUTH, VA
NPI
1245238096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: VA 0101232985)
Enumeration Date
2005-07-13
Last Update Date
2013-04-30
Business Address
-- MARK A PAVILACK MD
3235 ACADEMY AVE SUITE 200
PORTSMOUTH, VA 23703-3200
Phone number: 757-483-0400
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Mailing Address
-- MARK A PAVILACK MD
3235 ACADEMY AVE SUITE 200
PORTSMOUTH, VA 23703-3200
Phone number: 757-483-0400
Copy
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