Individual
DR. MARVIN CLARK VICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
739 NORTH MAIN STREET, MOUNT AIRY, NC 27030
(336) 803-8598
Mailing address
739 NORTH MAIN STREET, MOUNT AIRY, NC 27030
(336) 803-8598
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
OS8874
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
OS8874
FL
Other
Enumeration date
07/25/2006
Last updated
03/29/2017
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