Mr. Mark Allen Clark
Mr. Mark Allen Clark is a Pediatric Nurse Practitioner in Fredericksburg, Virginia. Licensed in Virginia. Registered with an NPI since 2007.
- Licensed in
- VA
- In the registry since
- 2007
Practice location Address checks out
111 Park Hill Dr # AFredericksburg, VA 22401-3357
Phone: (540) 368-1044
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Specialties & licences
| Pediatric Nurse Practitioner (primary) | Taxonomy 363LP0200X · Licence 0024166868 (VA) |
|---|
Record details
| NPI number | 1407903693 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 3, 2007 |
| Last updated in NPPES | November 7, 2012 |
| Mailing address | 22445 Conservancy Dr, Ashburn, VA 20148-8068 |
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