Individual
DR. RALPH RAYMOND CLARK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1250 E MARSHALL ST, INTERNAL MEDICINE, RICHMOND, VA 23298-5051
(804) 828-9357
(804) 828-7591
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1745
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101042486
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6036210
—
VA
Enumeration date
10/13/2006
Last updated
12/16/2009
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