Search › Virginia › 1710I1002X
Brian Clark, IDC
NPI 1093744427 · on the registry since 2006
Practice
- Address
- 3972 Shady Oaks Dr
Virginia Beach, VA 23455 - Phone
- (757) 630-7081
Registry record
- Primary taxonomy
- 1710I1002X
1710I1002X
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia