Individual
WILLIAM PATRICK CLARK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 WIMBLEDON SQ, SUITE E, CHESAPEAKE, VA 23320
(757) 436-2995
(757) 436-2912
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0101036704
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487619656
—
VA
Enumeration date
04/19/2006
Last updated
10/03/2013
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