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Individual

JOSEPH LEWIS CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
159 HARTLEY WAY, PEARISBURG, VA 24134-2471
(540) 921-6000
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5353

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
363AM0700X
Medical Physician Assistant
Primary
0110010546
VA

Other

Enumeration date
11/06/2024
Last updated
11/26/2024
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