Robert Clark | Falls Church, VA • PECOS Search

Robert Clark

Emergency Medicine

Allopathic & Osteopathic Physicians

3300 Gallows Rd, Falls Church, VA 22042-3307

PECOS Enrollment

Based on the most recent information from CMS, provider Robert Clark does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1982860540
Provider Type
Individual
Full Name
Clark, Robert
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
8/4/2008
Last Updated
8/4/2008

Contact Information

Practice Location

3300 Gallows Rd, Falls Church, VA 22042-3307

Unlisted Fax

Mailing Location

PO Box 75567, Baltimore, MD 21275-5567

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 0101242826 Virginia