Individual
ROBERT CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-3111
Mailing address
PO BOX 75567, BALTIMORE, MD 21275-5567
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101242826
VA
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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