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
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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