Derek Blaine Clark, DO

NPI #1568041655 in Parksley, Virginia

Provider Information

NPI Number
1568041655
Entity Type
Individual
Name
Derek Blaine Clark, DO
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Family Medicine
Credential
DO
Enumeration Date
Apr 6, 2021
Last Updated
Nov 4, 2024

Practice Location

Address
17385 LANKFORD HWY
ZIP Code
23421-3882
Phone
(757) 665-5996

Specialties & Taxonomy Codes

Specialty
Family Medicine

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Organizations

Provider Name
Riverside Physician Services INC

Part of Riverside Physician Services INC

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