MR. Mark Allen Clark
NPI #1407903693 in Fredericksburg, Virginia
Provider Information
- NPI Number
- 1407903693
- Entity Type
- Individual
- Name
- MR. Mark Allen Clark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Pediatrics
- Enumeration Date
- Jan 3, 2007
- Last Updated
- Nov 7, 2012
Practice Location
- Address
- 111 PARK HILL DR # A
- City
- Fredericksburg
- State
- Virginia
- ZIP Code
- 22401-3357
- Phone
- (540) 368-1044
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Pediatrics — Pediatrics |
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