Individual
JAMES W CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
655 K ST NW, WASHINGTON, DC 20001-2385
(202) 682-0170
Mailing address
655 K ST NW, WASHINGTON, DC 20001-2385
(202) 682-0170
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0110002588
VA
363A00000X
Physician Assistant
C00003565
MD
363A00000X
Physician Assistant
Primary
PA200001310
DC
Other
Enumeration date
10/16/2007
Last updated
05/12/2022
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