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DR. WILLIAM TUCKER HARK MD

Allergy

Richmond, Virginia

Provider NPI: 1891708665

Provider Information:
DR. WILLIAM TUCKER HARK MD


Practice Location:
9920 INDEPENDENCE PARK DR SUITE 100 RICHMOND, VA 23233 US
Tel: 804-285-7420  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207KA0200XPhysicians
Allergy & Immunology
Allergy
VA0101051636

Other Provider Identifiers:

IssuerNumberStateType
5808367VA05
ANTHEM223269VA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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