Catherine Leah Clark VA

NPI 1861458267 - Family Medicine - 207Q00000X

NPI Details
NPI 1861458267
Gender Female
Enumeration Date 04/25/2006
Last Updated 04/03/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
3700 FETTLER PARK
DUMFRIES HEALTH CENTER
DUMFRIES VA, 22025, US
Phone (703) 441-7500
Fax
Business Location
3700 FETTLER PARK
DUMFRIES HEALTH CENTER
DUMFRIES VA, 22025, US
Phone (703) 441-7500
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Virginia
License Number 0101029558
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According to our database, Dr. Catherine Leah Clark VA NPI is 1861458267, taxonomy code is 207Q00000X and license number is 0101029558, license state is located at Virginia. Catherine Leah Clark VA physically located at 3700 Fettler Park, Dumfries VA, 22025. NPI Number Catherine Leah Clark VA has the Individual type.

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1861458267 NPI number is provided on an as is basis without warranty of any kind. 1861458267 is maintained by the National Plan & Provider Enumeration System. The contents of Catherine Leah Clark VA are for informational purposes only.