Individual
RONALD MCCLARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10132 S FAIRVIEW DR, OKLAHOMA CITY, OK 73159-7217
(405) 620-1670
Mailing address
10132 S FAIRVIEW DR, OKLAHOMA CITY, OK 73159-7217
(405) 620-1670
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
J081606679
—
OK
Enumeration date
12/31/2009
Last updated
01/03/2013
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