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Individual

DR. MICHAEL HOWARD CLARY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3700 S MAIN ST, SUITE A, BLACKSBURG, VA 24060-7017
(540) 443-7187
(540) 443-7182
Mailing address
3700 S MAIN ST, SUITE A, BLACKSBURG, VA 24060-7017
(540) 443-7187
(540) 443-7182

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102037039
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005881153
VA
01
10031748
OPTIMA/SENTARA
VA
01
1003599
BRICKSTREET-WV COMP
WV
01
158189
SOUTHERN HEALTH PROVIDER
VA
01
238819
ANTHEM
VA
01
296203
MAMSI PROVIDER NUMBER
VA
01
4283942
CIGNA PROVIDER NUMBER
VA
01
4652869
AETNA
VA
01
830370
UNITED HEALTHCARE
VA
01
P00805146
MEDICARE RR
VA
01
TN0101
JOHN DEERE PROVIDER
VA
Enumeration date
04/10/2006
Last updated
06/27/2024
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