Troy Clark, DO - Portsmouth, VA

Troy Clark, DO

Military Health Care Provider in Portsmouth, Virginia

NPI 1669918322

Troy Clark is a Military Health Care Provider based in Grand Island, VA. Troy Clark practices in Portsmouth, VA and has the professional credentials of DO. The NPI Number for Troy Clark is 1669918322 and holds a License No. C462805953320 (Virginia).

The current practice location address for Troy Clark is 620 John Paul Jones Cir, Portsmouth, VA and can be reached out via phone at 757-953-5000.

Location: 620 John Paul Jones Cir, Portsmouth, VA, 32735-8498

NPI Number

1669918322

Provider Name

Troy Clark

Credential

Provider Entity Type

Individual

Gender

Male

Address

620 John Paul Jones Cir, Portsmouth, VA, 32735-8498

Phone Number

757-953-5000

Fax Number

Provider Enumeration Date

01/18/2017

Last Update Date

05/18/2024

Address

620 John Paul Jones Cir

City

Portsmouth

State

Virginia

Zip

23708-2111

Phone Number

757-953-5000

Fax Number

Address

620 John Paul Jones Cir

City

Portsmouth

State

Virginia

Zip

23708-2111

Phone Number

757-953-5000

Fax Number

Type

Other Service Providers

Classification

Military Health Care Provider

Speciality

Taxonomy

171000000X

License No.

()

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

C462805953320 (Florida)

Definition

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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