Individual
ANDREW STONE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1602 SKIPWITH RD, RICHMOND, VA 23229-5205
(804) 289-4937
(804) 565-6600
Mailing address
1504 SANTA ROSA RD, SUITE 206, RICHMOND, VA 23229-5109
(804) 288-4453
(804) 288-1621
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101034102
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010156751
—
VA
Enumeration date
08/26/2005
Last updated
02/28/2013
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