Individual provider · Type 1 NPI

Susan Christine Clark, MD

Surgery Physician · Portsmouth, VA

NPI number 1104096650 Active

Practice location

Naval Medical Center Portsmouth, 620 John Paul Jones Circle
Portsmouth, VA 23708

Call (757) 953-9759 Map

Fax (757) 953-0845

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X2011-00718 (NC)
Surgery Physician 208600000XMD426779 (PA)
Surgery Physician Primary 208600000X0101253279 (VA)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1104096650

Susan Christine Clark, MD's National Provider Identifier is 1104096650, issued on Mar 11, 2008. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Portsmouth, VA. The record was last updated on Feb 20, 2024.