person
Dr. Mary Jean Scourboutakos, MD,PHD
Student in an Organized Health Care Education/Training Program in Norfolk, Virginia
NPI 1184310104

Mary Jean Scourboutakos is a Student in an Organized Health Care Education/Training Program based in Norfolk, VA. Mary Jean Scourboutakos practices in Norfolk, VA and has the professional credentials of MD,PHD. The NPI Number for Mary Jean Scourboutakos is 1184310104 and holds a License No. (Virginia).

The current practice location address for Mary Jean Scourboutakos is 825 Fairfax Ave, Norfolk, VA and can be reached out via phone at 757-446-5955.

Location: 825 Fairfax Ave, Norfolk, VA, 23501-1980
person
Provider Profile Details
NPI Number
1184310104
Provider Name
Mary Jean Scourboutakos
Credential
MD,PHD
Provider Entity Type
Individual
Gender
Female
Address
825 Fairfax Ave, Norfolk, VA, 23501-1980
Phone Number
757-446-5955
Fax Number
Provider Enumeration Date
04/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
825 Fairfax Ave
City
State
Zip
23507-1914
Phone Number
757-446-5955
Fax Number
person
Provider Business Mailing Address Details
Address
825 Fairfax Ave
City
State
Zip
23507-1914
Phone Number
757-446-5955
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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