Provider Demographics
NPI:1215943493
Name:CURTISS, MARY ELIZABETH (MD)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:ELIZABETH
Last Name:CURTISS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1583 N MAIN ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:MARION
Mailing Address - State:VA
Mailing Address - Zip Code:24354-4317
Mailing Address - Country:US
Mailing Address - Phone:276-782-4424
Mailing Address - Fax:
Practice Address - Street 1:1583 N MAIN ST
Practice Address - Street 2:SUITE B
Practice Address - City:MARION
Practice Address - State:VA
Practice Address - Zip Code:24354-4317
Practice Address - Country:US
Practice Address - Phone:276-782-4424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101035207207YX0602X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0602XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngic Allergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA217847OtherANTHEM BC
21207265837OtherBEECH ST. CORP
21207265837OtherBEECH ST. CORP