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1407840945
CRAIG CHARLES CLARK
FAIRFAX, VA
NPI
1407840945
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VA 0101037862)
Enumeration Date
2005-09-09
Last Update Date
2007-11-30
Business Address
-- CRAIG CHARLES CLARK MD
3650 JOSEPH SIEWICK DR SUITE 400
FAIRFAX, VA 22033-1710
Phone number: 703-391-2020
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Mailing Address
-- CRAIG CHARLES CLARK MD
3650 JOSEPH SIEWICK DR SUITE 400
FAIRFAX, VA 22033-1710
Phone number: 703-391-2020
Copy
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