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Individual
DANIEL H CLARKE
Active
Individual
DANIEL H CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
0101046018
VA
2085R0203X
Therapeutic Radiology Physician
Primary
D0063803
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037461100
—
DC
01
—
1172517
AETNA HMO
MD
01
—
158895
PHCS
MD
01
—
1620115
CIGNA
MD
05
—
219441401
—
MD
01
—
2906-0016
CAREFIRST BC/BS
DC
01
—
296135
AMERIGROUP
MD
01
—
4230117
AETNA PPO
MD
01
—
4828
ELDER HEALTH
MD
01
—
503862
NATIONAL CAPITOL PPO
MD
01
—
60332702
CAREFIRST BC/BS
MD
Enumeration date
04/14/2006
Last updated
04/18/2012
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