Individual
DANIEL KURT CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1534 JEFFERSON HWY, FISHERSVILLE, VA 22939-2242
(540) 943-0007
Mailing address
1534 JEFFERSON HWY, FISHERSVILLE, VA 22939-2242
(540) 943-0007
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2101001792
VA
Other
Enumeration date
08/30/2012
Last updated
12/18/2012
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