David Anthony Clark M.D.

NPI 1659518926 - Family Medicine - 207Q00000X

NPI Details
NPI 1659518926
Gender Male
Enumeration Date 01/08/2009
Last Updated 01/08/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
11453 ABBOTS CROSS LN
GLEN ALLEN VA, 23059-1102, US
Phone (804) 347-4357
Fax
Business Location
11453 ABBOTS CROSS LN
GLEN ALLEN VA, 23059-1102, US
Phone (804) 347-4357
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Virginia
License Number 0101032223
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According to our database, David Anthony Clark M.D. NPI is 1659518926, taxonomy code is 207Q00000X and license number is 0101032223, license state is located at Virginia. David Anthony Clark M.D. physically located at 11453 Abbots Cross Ln, Glen Allen VA, 23059-1102. NPI Number David Anthony Clark M.D. has the Individual type.

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1659518926 NPI number is provided on an as is basis without warranty of any kind. 1659518926 is maintained by the National Plan & Provider Enumeration System. The contents of David Anthony Clark M.D. are for informational purposes only.