Individual
CLINTON PERMENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4502 E 41ST ST, TULSA, OK 74135-2536
(918) 579-2367
Mailing address
4502 E 41ST ST, TULSA, OK 74135-2536
(918) 579-2367
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
33069
OK
Other
Enumeration date
03/30/2017
Last updated
09/11/2025
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