Individual
DR. BRYAN D. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2400 LEE HWY N, PULASKI, VA 24301-2326
(540) 994-8100
(804) 379-7506
Mailing address
2250 CASTLEBRIDGE RD, MIDLOTHIAN, VA 23113-4009
(804) 513-7550
(804) 379-7506
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0102201448
VA
208M00000X
Hospitalist Physician
0102201448
VA
Other
Enumeration date
07/17/2006
Last updated
12/03/2018
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