Search › Virginia › 101YA0400X
John Clark
NPI 1699824763 · on the registry since 2007
Practice
- Address
- 10390 Democracy Ln
Fairfax, VA 22030 - Phone
- (703) 219-2578
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- 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