Individual
VICTOR PIERRE CLARK
Active
Individual
VICTOR PIERRE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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