MR. MARK CLARK
Nurse Practitioner - Pediatrics
Active
Individual
NPI: 1407903693
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Pediatrics | 363LP0200X | Yes | 0024166868 (VA) |
Frequently Asked Questions
NPI 1407903693 is the National Provider Identifier for MR. MARK CLARK, a Nurse Practitioner - Pediatrics provider located in Fredericksburg, VA. This NPI was enumerated on January 3, 2007.
MR. MARK CLARK practices at 111 PARK HILL DR # A, Fredericksburg, VA 22401.
Quick Facts
- NPI
- 1407903693
- Type
- Individual
- Enumerated
- Jan 3, 2007
- Last Updated
- Nov 7, 2012
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