Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Craig Charles Clark, MD

Individual provider Family Medicine Physician · NPI 1407840945

Craig Charles Clark, MD is a Family Medicine Physician in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2005.

Licensed in
VA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3650 Joseph Siewick Dr Ste 400
Fairfax, VA 22033-1710
Phone: (703) 391-2020
Fax: (703) 391-1211
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0101037862 (VA)

Record details

NPI number1407840945
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 9, 2005
Last updated in NPPESNovember 30, 2007
Mailing address3650 Joseph Siewick Dr, Suite 400, Fairfax, VA 22033-1710

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