Individual
CLARENCE E PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1107B BROOKDALE ST, MARTINSVILLE, VA 24112-4501
(276) 634-4400
(276) 638-2900
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5372
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101033368
VA
207RC0000X
Cardiovascular Disease Physician
2003-0352
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21931828
—
NM
Enumeration date
06/08/2005
Last updated
03/07/2023
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