Deirdra L Clark
Medical Specialty
Professional ID
- NPI: 1215306774
- PECOS ID: 1759691413
- Enrollment ID: I20151109001299
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2014
Medical Practices
- Organization Name: Little Clinic Of Va Llc
- Group Practice ID assigned by PECOS: 2961620596
- Number of Group Practice member: 20
Location
- Address1: 9000 Staples Mill Rd
- Address2:
- City: Henrico
- State: Virginia
- Zip Code: 23228
- Phone Number: (804)977-9526
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):