Individual
DR. CLARKE JEROME MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 BERNARDINE DR, NEWPORT NEWS, VA 23602
(757) 886-6000
Mailing address
PO BOX 634706, CINCINNATI, OH 45263-0001
(865) 292-3000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
010123296
VA
207P00000X
Emergency Medicine Physician
01048671A
IN
207P00000X
Emergency Medicine Physician
036094426
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497789515
—
VA
01
—
P00343474
RAILROAD MEDICARE
VA
Enumeration date
07/11/2006
Last updated
08/26/2024
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