BRIAN CLARK, IDC
Military Health Care Provider - Independent Duty Corpsman
Active
Individual
NPI: 1093744427
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Military Health Care Provider - Independent Duty Corpsman | 1710I1002X | Yes | - |
Frequently Asked Questions
NPI 1093744427 is the National Provider Identifier for BRIAN CLARK, IDC, a Military Health Care Provider - Independent Duty Corpsman provider located in Virginia Beach, VA. This NPI was enumerated on June 30, 2006.
BRIAN CLARK, IDC practices at 3972 SHADY OAKS DR, Virginia Beach, VA 23455.
Quick Facts
- NPI
- 1093744427
- Type
- Individual
- Enumerated
- Jun 30, 2006
- Last Updated
- Jul 8, 2007
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