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Individual

TROY CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-5000
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-6455

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
0102209595
VA
2083X0100X
Occupational Medicine Physician
Primary
0102209595
VA
390200000X
Student in an Organized Health Care Education/Training Program
C462805953320
FL

Other

Enumeration date
01/18/2017
Last updated
04/27/2026
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