Organization
J CLARK BUNDREN, M.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CLARK BUNDREN M.D. (MANAGING OFFICER)
(918) 492-6000
Entity
Organization
Contact information
Practice address
5555 E 71ST ST STE 6220, TULSA, OK 74136-6548
(918) 492-6000
(918) 481-0622
Mailing address
5555 E 71ST ST STE 6220, TULSA, OK 74136-6548
(918) 492-6000
(918) 481-0622
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
13630
OK
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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