Individual
DAVID ANTHONY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11453 ABBOTS CROSS LN, GLEN ALLEN, VA 23059-1102
(804) 347-4357
Mailing address
11453 ABBOTS CROSS LN, GLEN ALLEN, VA 23059-1102
(804) 347-4357
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101032223
VA
207Q00000X
Family Medicine Physician
0101032223
VA
Other
Enumeration date
01/08/2009
Last updated
08/03/2023
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