Individual
LEEROY MARK CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3001 HOSPITAL DR, CHEVERLY, MD 20785-1189
(301) 618-6100
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-0000
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0056346
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150201800
—
MD
Enumeration date
06/10/2006
Last updated
04/02/2026
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