Individual provider · Type 1 NPI

Justin R. Mize, PA

Medical Physician Assistant · Virginia Beach, VA

NPI number 1104152479 Active

Practice location

4092 Foxwood Dr, Suite 101
Virginia Beach, VA 23462-5225

Fax (757) 686-0541

Mailing address

PO Box 7549
Portsmouth, VA 23707-0549

Other practice locations

  • 225 Clearfield Ave, Virginia Beach, VA 23462-1815 · (757) 457-5100

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0110003168 (VA)

Medical Physician Assistant: Definition to come...

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About NPI 1104152479

Justin R. Mize, PA's National Provider Identifier is 1104152479, issued on Oct 21, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Virginia Beach, VA. The record was last updated on Oct 25, 2022.