NPI 1316258569

Shannon Wang Clark, MD

Practitioner Neurological Surgery Physician Norfolk, VA

Practice location

Address: 301 Riverview Ave STE 202a, Norfolk, VA 23510-1065
Phone: (757) 252-9140
Fax: (757) 793-4149

Registered specialties (2)

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence 0101261902 (VA)

Other Neurological Surgery providers in Virginia →

Neurological Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence MT197142 (PA)

Registry record

NPI: 1316258569
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jun 2010
Record last updated: 5 Oct 2021

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.