NPI 1104096650

Susan Christine Clark, MD

Practitioner Surgery Physician Portsmouth, VA

Practice location

Address: Naval Medical Center Portsmouth 620 John Paul Jones Circle, Portsmouth, VA 23708
Phone: (757) 953-9759
Fax: (757) 953-0845
Mailing address: Naval Medical Center Portsmouth 620 John Paul Jones Circle, Portsmouth, VA 23708-9971

Registered specialties (3)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 0101253279 (VA)

Other Surgery providers in Virginia →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 2011-00718 (NC)

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence MD426779 (PA)

Registry record

NPI: 1104096650
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Mar 2008
Record last updated: 20 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.