Individual provider · Type 1 NPI

Mark Clark, MD

Student in an Organized Health Care Education/Training Program · Norfolk, VA

NPI number 1285339069 Active

Practice location

600 Gresham Dr
Norfolk, VA 23507-1904

Call (757) 446-7934 Map

Mailing address

PO Box 1980
Norfolk, VA 23501-1980

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1285339069

Mark Clark, MD's National Provider Identifier is 1285339069, issued on Apr 3, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Norfolk, VA. The record was last updated on Apr 3, 2023.