Individual
DR. MARK GREGORY CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
216 MASON AVE, CAPE CHARLES, VA 23310-3200
(757) 331-1422
(757) 331-1624
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101038467
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346225695
—
VA
Enumeration date
12/09/2005
Last updated
10/03/2013
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