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NPI Code Detail

MEDICARE: CLARK ALLIANCE SERVICES INC

MEDICARE: CLARK ALLIANCE SERVICES INC
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
1207R00000XInternal Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952892028
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLARK ALLIANCE SERVICES INC
Provider Business Mailing Address
First Line : 3575 BRIDGE RD STE 8
Second Line :
City : SUFFOLK
State : VA
Zip : 23435-1800
Country : US
Telephone Number : 757-582-1629
Fax Number :
Provider Business Practice Location Address
First Line : 2501 PARKERS LN FL 4
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22306-3209
Country : US
Telephone Number : 703-664-7000
Fax Number :
Authorized Official
Title or Position : CEO
Name : DR. VICTOR PIERRE CLARK
Credential : MD
Telephone Number : 757-582-1629
Provider Enumeration Date : 05/24/2018
Last Update Date : 01/14/2026

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Directions to “CLARK ALLIANCE SERVICES INC ” Practice Location

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