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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. THERISA CLARK

Active Sole Proprietor

MRS. THERISA CLARK is a Foot & Ankle Surgery healthcare provider located in POCA, West Virginia. NPI 1710485230 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery · POCA, WV

Registration Details

NPI Number
1710485230
Provider Type
Individual
Gender
Female
NPI Issued
Jan 30, 2018 (8.5339635897965 yrs)
Last Updated
Jan 30, 2018
Sole Proprietor
Yes

Practice Information

Address
421 OAKMONT DR
POCA, WV, 25159
Browse WV providers · Browse ZIP 25159
Phone
3047554627
Primary Specialty
Foot & Ankle Surgery
3747P1801X

Other Foot & Ankle Surgery Providers in POCA, WV

Name Credential NPI
MRS. LISA MATTHEWS 1184122699
SANDRA L GRIFFITH PROGRAM DIRECTOR 1124636832
KATHY L SAUNDERS 1881206399
CHASITY NICOLE FOSTER 1154937811
FAITH CHEYENNE WILSON 1508461849
TACY WRIGHT 1710573480
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.