Individual
THOMAS H CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4320 SEMINARY ROAD, ALEXANDRIA HOSPITAL, ALEXANDRIA, VA 22304
(703) 504-3066
(703) 504-3866
Mailing address
1300 PICCARD DR, SUITE 202 EMERGENCY MEDICINE ASSOCIATES, ROCKVILLE, MD 20850-4303
(301) 921-7900
(301) 921-7915
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00608745
—
VA
01
—
0111
CARE FIRST
—
Enumeration date
10/04/2005
Last updated
12/28/2007
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