Individual
THERESA HITSELBERGER CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1929
(757) 594-2000
Mailing address
5005 PEBBLE CREEK CT, SUFFOLK, VA 23435-4205
(757) 675-6771
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101240231
VA
Other
Enumeration date
07/22/2006
Last updated
02/13/2019
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