MEDICARE: DR. FRANK BRIAN CLARE JR. MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	0101038568	VA

General Provider Information

NPI Number	:	1720020233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK BRIAN CLARE JR. MD

Provider Business Mailing Address
First Line	:	460 MCLAWS CIR
Second Line	:	STE 220
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23185-5671
Country	:	US
Telephone Number	:	757-221-7111
Fax Number	:	757-221-8085

Provider Business Practice Location Address
First Line	:	301 MONTICELLO AVE
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23185-2833
Country	:	US
Telephone Number	:	757-259-6000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	07/08/2007

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