Individual
DR. MARY EVADNE CLARKE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
DMCC, STATE FARM, VA 23160
(804) 598-5503
(804) 403-3404
Mailing address
825 ROSENEATH RD, RICHMOND, VA 23221-1515
(804) 598-5503
(804) 359-5162
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101049706
VA
Other
Enumeration date
05/09/2006
Last updated
07/08/2007
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