Individual provider · Type 1 NPI
M. Justine Clark, DO
General Practice Physician · Annapolis, MD
NPI number
1386158525
Active
Practice location
600 Ridgely Ave Ste 214
Annapolis, MD 21401-8804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | H0041992 (MD) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in Annapolis
About NPI 1386158525
M. Justine Clark, DO's National Provider Identifier is 1386158525, issued on Nov 27, 2017. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Annapolis, MD. The record was last updated on Nov 27, 2017.