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Dr. Thomas W Clark, MS,MD,FACS
Specialist in Newport News, Virginia
NPI 1255494183

Thomas W Clark is a Specialist based in Newport News, VA. Thomas W Clark practices in Newport News, VA and has the professional credentials of MS,MD,FACS. The NPI Number for Thomas W Clark is 1255494183 and holds a License No. 0101050712 (Virginia).

The current practice location address for Thomas W Clark is 645 J Clyde Morris Blvd, Newport News, VA and can be reached out via phone at 757-591-9572 and via fax at 757-591-9606.

Location: 645 J Clyde Morris Blvd, Newport News, VA, 23601-1819
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255494183
Provider Name
Thomas W Clark
Credential
MS,MD,FACS
Provider Entity Type
Individual
Gender
Male
Address
645 J Clyde Morris Blvd, Newport News, VA, 23601-1819
Phone Number
757-591-9572
Fax Number
757-591-9606
Provider Enumeration Date
12/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
453810 01 VA ANTHEM
7312059 05 VA
institution
Provider Business Practice Location Address Details
Address
645 J Clyde Morris Blvd
City
Newport News
State
Virginia
Zip
23601-1819
Phone Number
757-591-9572
Fax Number
757-591-9606
person
Provider Business Mailing Address Details
Address
645 J Clyde Morris Blvd
City
Newport News
State
Virginia
Zip
23601-1819
Phone Number
757-591-9572
Fax Number
757-591-9606
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0101050712 (Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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