Dr KRISTIN MJ CLARK is a female medical professional, specializing in Physician Assistant. She graduated in 2008.
ADVANCED DIGESTIVE CARE LLC
2300 OPITZ BLVD
WOODBRIDGE
VA
221913311
Tel: 7035800181
| Npi | 1528291069 |
| Pac Id | 4587701818 |
| Professional Enrollment Id | I20110616000495 |
| Last Name | CLARK |
| First Name | KRISTIN |
| Middle Name | MJ |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2008 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | ADVANCED DIGESTIVE CARE LLC |
| Group Practice Pac Id | 3375857725 |
| Number Of Group Practice Members | 54 |
| Line 1 Street Address | 2300 OPITZ BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 221913311 |
| Phone Number | 7035800181 |
| Hospital Affiliation Ccn 1 | 490040 |
| Hospital Affiliation Lbn 1 | INOVA ALEXANDRIA HOSPITAL |
| Hospital Affiliation Ccn 2 | 490113 |
| Hospital Affiliation Lbn 2 | SENTARA NORTHERN VIRGINIA MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 490140 |
| Hospital Affiliation Lbn 3 | STAFFORD HOSPITAL, LLC |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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