Individual
DR. CLIFFORD LAWRENCE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12720 MCMANUS BLVD, SUITE 305, NEWPORT NEWS, VA 23602-4414
(757) 947-3170
(757) 947-3180
Mailing address
12720 MCMANUS BLVD, SUITE 305, NEWPORT NEWS, VA 23602-4414
(757) 947-3170
(757) 947-3180
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101253226
VA
208600000X
Surgery Physician
9422
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C10716
GROUP PTAN
VA
Enumeration date
09/28/2006
Last updated
01/27/2022
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