Individual
DR. WILLIAM TUCKER HARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9920 INDEPENDENCE PARK DR, SUITE 100, RICHMOND, VA 23233-1487
(804) 285-7420
(804) 565-3736
Mailing address
9920 INDEPENDENCE PARK DR, SUITE 100, RICHMOND, VA 23233-1487
(804) 285-7420
(804) 565-3736
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
0101051636
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223269
ANTHEM
VA
05
—
5808367
—
VA
Enumeration date
08/14/2006
Last updated
02/25/2008
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