Organization
CENTER FOR WEIGHT LOSS SUCCESS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS WILLIAM CLARK M.S., M.D., F.A.C.S (MEDICAL DIRECTOR)
(757) 873-1880
Entity
Organization
Contact information
Practice address
645 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1819
(757) 873-1880
(757) 873-1990
Mailing address
645 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1819
(757) 873-1880
(757) 873-1990
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101050712
VA
Other
Enumeration date
03/14/2011
Last updated
03/14/2011
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