Individual
SARAH CLOUGHLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7807 S WALKER AVE, OKLAHOMA CITY, OK 73139-9470
(405) 636-0767
(405) 636-0353
Mailing address
7807 S WALKER AVE, OKLAHOMA CITY, OK 73139-9470
(405) 636-0767
(405) 636-0353
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2517
OK
363A00000X
Physician Assistant
51534
CA
Other
Enumeration date
04/29/2014
Last updated
09/14/2020
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