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VICTOR PIERRE CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
825 FAIRFAX AVE, SUITE 445, NORFOLK, VA 23507-1914
(757) 446-8920
(757) 446-5242
Mailing address
PO BOX 936, EVMS MEDICAL GROUP, NORFOLK, VA 23501-0936
(757) 446-8920
(757) 446-5242

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101247340
VA
207R00000X
Internal Medicine Physician
Primary
01083360
IN
208M00000X
Hospitalist Physician
2018-00776
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10121062
OPTIMA HEALTH
VA
01
1821251943
VIRGINIA PREMIER HEALTH PLAN
VA
05
1821251943
VA
01
PAR
CORVEL
VA
Enumeration date
07/09/2008
Last updated
02/25/2020
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