Individual
ALEXANDER CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
13636 ROCK FLINT CT, CLIFTON, VA 20124-2410
(571) 308-5002
Mailing address
13636 ROCK FLINT CT, CLIFTON, VA 20124-2410
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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