Individual provider · Type 1 NPI

Shannon Wang Clark, MD

Neurological Surgery Physician · Norfolk, VA

NPI number 1316258569 Active

Practice location

301 Riverview Ave Ste 202A
Norfolk, VA 23510-1065

Call (757) 252-9140 Map

Fax (757) 793-4149

Other practice locations

  • 1000 Walnut St, 1506, Philadelphia, PA 19107-5795 · (813) 527-4403

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician 207T00000XMT197142 (PA)
Neurological Surgery Physician Primary 207T00000X0101261902 (VA)

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1316258569

Shannon Wang Clark, MD's National Provider Identifier is 1316258569, issued on Jun 22, 2010. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Norfolk, VA. The record was last updated on Oct 5, 2021.