MARK W TEAGUE

CHARLOTTESVILLE, VA
NPI1861496648
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: VA  0101232830)
Additional Taxonomies207ZD0900X Pathology, Dermatopathology
(Licence: AL  18786)
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: AL  18786)
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: TN  20922)
Enumeration Date2005-06-09
Last Update Date2016-05-19
Business Address
-- MARK W TEAGUE M.D.
2331 SEMINOLE LN STE 102
CHARLOTTESVILLE, VA 22901-8319
Phone number: 434-244-0162
Mailing Address
-- MARK W TEAGUE M.D.
5700 SOUTHWYCK BLVD
TOLEDO, OH 43614-1509
Phone number: 800-288-8325