Search › Virginia › 363LP0200X
Mark Clark
NPI 1407903693 · on the registry since 2007
Practice
- Address
- 111 Park Hill Dr # A
Fredericksburg, VA 22401 - Phone
- (540) 368-1044
Registry record
- Primary taxonomy
- 363LP0200X
363LP0200X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-11-07
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