Brian Thomas Clark, IDC
Brian Thomas Clark, IDC is an Independent Duty Corpsman in Virginia Beach, Virginia. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
3972 Shady Oaks DrVirginia Beach, VA 23455-1628
Phone: (757) 630-7081
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1093744427 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | No |
| NPI enumerated | June 30, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 3972 Shady Oaks Dr, Virginia Beach, VA 23455-1628 |
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