Individual
MISS DANA MARIA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
860 OMNI BLVD STE 114, NEWPORT NEWS, VA 23606-4430
(757) 232-8856
(757) 232-8857
Mailing address
860 OMNI BLVD STE 101, NEWPORT NEWS, VA 23606-4430
(757) 232-8769
(757) 232-8875
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-12368
NC
363A00000X
Physician Assistant
Primary
0110-005421
VA
Other
Enumeration date
07/11/2016
Last updated
09/26/2022
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