Individual
CLARK CASE BAUMBUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
595 MARTHA JEFFERSON DR STE 180, CHARLOTTESVILLE, VA 22911-4669
(434) 654-5575
(434) 654-5574
Mailing address
PO BOX 79777, BALTIMORE, MD 21279-0777
(434) 654-7794
(434) 654-5574
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101254051
VA
Other
Enumeration date
10/08/2008
Last updated
06/14/2022
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